Pioneer Pharmacy #12694

LBN: Walgreen Co.
Pioneer Pharmacy #12694 is an health care organization with primary practice located at 10990 Warner Ave Ste A, Fountain Valley CA 92708-3849. 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 (714) 962-7200, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
10990 Warner Ave Ste A Fountain Valley CA 92708-3849
Phone: (714) 962-7200
Fax: (714) 965-0469
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY49023 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1841468105
LBN Legal business name Walgreen Co.
DBA Doing business as Pioneer Pharmacy #12694
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2008
Last updated Apr 5th, 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 1841468105 NPPES
California MEDICAID 1841468105
California Other 5629704

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