Walgreens #11485

LBN: Walgreen Co.
Walgreens #11485 is an health care organization with primary practice located at 2801 N Ponce De Leon Blvd , St Augustine FL 32084-1648. 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) 810-2200, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
2801 N Ponce De Leon Blvd St Augustine FL 32084-1648
Phone: (904) 810-2200
Fax: (904) 810-2292
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 PH23626 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336396647
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11485
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 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 1336396647 NPPES
Florida MEDICAID 000448900
Florida Other 000448901
Florida MEDICAID 000448901
Florida Other 1037755

Popular Providers