Walgreens #12041

LBN: Walgreen Co.
Walgreens #12041 is an health care organization with primary practice located at 4024 W Lake Mary Blvd , Lake Mary FL 32746-3349. 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 (407) 549-3115, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
4024 W Lake Mary Blvd Lake Mary FL 32746-3349
Phone: (407) 549-3115
Fax: (407) 333-5248
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 PH24012 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1992946123
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #12041
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 18th, 2009
Last updated Mar 28th, 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 1992946123 NPPES
Florida Other 000968801 FL MEDICAID DME
Florida MEDICAID 000968800 FL MEDICAID DME
Florida Other 1043784 FL MEDICAID DME

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