Walgreens #21385

LBN: Walgreen Co
Walgreens #21385 is an health care organization with primary practice located at 576 Calle Cesar Gonzalez Ste 206 , San Juan PR 00918-3757. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (787) 777-1120, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
576 Calle Cesar Gonzalez Ste 206 San Juan PR 00918-3757
Fax: (787) 777-1124
Website:
Authorized official contact:
Name: Taylor, Kira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 19-F-3460 Puerto Rico
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1801186283
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #21385
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2011
Last updated Jun 14th, 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 1801186283 NPPES
Louisiana MEDICAID 1257460
Louisiana Other 4027769

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