Walgreens #02193

LBN: Walgreen Co
Walgreens #02193 is an health care organization with primary practice located at 13628 W State Road 84 , Davie FL 33325-5301. 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 (954) 474-7123, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
13628 W State Road 84 Davie FL 33325-5301
Fax:
Website:
Authorized official contact:
Name: Taylor, Kira L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH0010726 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871500868
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #02193
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Oct 31st, 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 1871500868 NPPES
Other 1062316 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100649501 DME OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100649500 OTHER ID NUMBER-COMMERCIAL NUMBER

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