Walgreens #07078

LBN: Walgreen Co
Walgreens #07078 is an health care organization with primary practice located at 1405 E Venice Ave , Venice FL 34292-3064. 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 (941) 488-8122, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
1405 E Venice Ave Venice FL 34292-3064
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH19183 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568477750
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #07078
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2006
Last updated May 13th, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568477750 NPPES
Florida MEDICAID 026104101 DME
Florida MEDICAID 026104100
Florida Other 1098258

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