Walgreens #10964

LBN: Walgreen Co
Walgreens #10964 is an health care organization with primary practice located at 10672 Colonial Blvd , Fort Myers FL 33913-8701. 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 (239) 225-0216, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
10672 Colonial Blvd Fort Myers FL 33913-8701
Fax: (239) 225-7279
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH23444 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1699940601
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #10964
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2008
Last updated Oct 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699940601 NPPES
Florida MEDICAID 000105100
Florida Other 1034759
Florida Other 000105101

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