Walgreens #09573
LBN: Walgreen Co.
Walgreens #09573 is an health care organization with primary practice located at 3120 Kathleen Rd , Lakeland FL 33810-6707. 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 (863) 853-1087, or through Taylor, Kira L via phone (217) 709-2351.
Contact Information
Primary practice address
3120 Kathleen Rd
Lakeland FL 33810-6707
Phone: (863) 853-1087
Fax: (863) 859-2710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | PH23438 | |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1457523292 |
---|---|
LBN Legal business name | Walgreen Co. |
DBA Doing business as | Walgreens #09573 |
Authorized official | Taylor, Kira L |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Apr 1st, 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 | 1457523292 | NPPES |
Florida | Other | 000151101 | FL MEDICAID DME |
Florida | MEDICAID | 000151100 | FL MEDICAID DME |
Florida | Other | 1034216 | FL MEDICAID DME |
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