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:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205084266 NPPES
Florida MEDICAID 000487500
Florida Other 000487501
Florida Other 1037907

Popular Providers