Walgreens #05779

LBN: Walgreen Co
Walgreens #05779 is an health care organization with primary practice located at 101 W Ardice Ave , Eustis FL 32726-6240. 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 (352) 589-5062, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
101 W Ardice Ave Eustis FL 32726-6240
Phone: (352) 589-5062
Fax:
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 PH0008641 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659387033
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #05779
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2006
Last updated Apr 29th, 2022 - about 3 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 1659387033 NPPES
Florida MEDICAID 105332901 DME
Florida Other 1050070
Florida MEDICAID 105332900

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