Walgreens #11304

LBN: Walgreen Co.
Walgreens #11304 is an health care organization with primary practice located at 15043 S Dixie Hwy , Palmetto Bay FL 33176-7930. 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 (786) 573-5177, or through Taylor, Kira L via phone (217) 709-2351.

Contact Information

Primary practice address
15043 S Dixie Hwy Palmetto Bay FL 33176-7930
Phone: (786) 573-5177
Fax: (786) 573-5250
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira L
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH23732 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1316199359
LBN Legal business name Walgreen Co.
DBA Doing business as Walgreens #11304
Authorized official Taylor, Kira L
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 22nd, 2008
Last updated Nov 1st, 2023 - about 3 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 1316199359 NPPES
Florida Other 000635501 FL MEDICAID DME
Florida Other 1039367 FL MEDICAID DME
Florida MEDICAID 000635500 FL MEDICAID DME

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