Walgreens #11165
LBN: Walgreen Co.
Walgreens #11165 is an health care organization with primary practice located at 5445 State Road 16 , St Augustine FL 32092-0617. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Walgreen Co. can be contacted via phone (904) 940-5556, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
5445 State Road 16
St Augustine FL 32092-0617
Phone: (904) 940-5556
Fax: (904) 940-8965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1205084266 |
|---|---|
| LBN Legal business name | Walgreen Co. |
| DBA Doing business as | Walgreens #11165 |
| Authorized official | Taylor, Kira L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Nov 1st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205084266 | NPPES |
| Florida | MEDICAID | 000487500 | |
| Florida | Other | 000487501 | |
| Florida | Other | 1037907 |
Popular Providers
-
Walgreen Co
116 Blackford Way , St Augustine FL 32086-1876 -
Publix Super Markets Inc
84 Tuscan Way , St Augustine FL 32092-1831 -
Seaside Family Pharmacy Llc
4075 A1A S Ste 102, St Augustine FL 32080-6773 -
Publix Super Markets Inc
55 Ava Way , St Augustine FL 32084-2904 -
Wal-Mart Stores East Lp
2355 Us Highway 1 S , St Augustine FL 32086-6072 -
Walgreen Co.
2801 N Ponce De Leon Blvd , St Augustine FL 32084-1648 -
Walgreen Co
2075 Us Highway 1 S , St Augustine FL 32086-6000 -
Holiday Cvs Llc
2703 N Ponce De Leon Blvd , St Augustine FL 32084-2603