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Contact Information

WALGREEN CO
542356 US HIGHWAY 1
CALLAHAN, FL32011
 Phone: 904-507-2649
 Fax: 904-507-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI # 1528369063
LBN Legal business name WALGREEN CO
Authorized official VIRGINIA GARZA - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/16/2010
Last updated 04/25/2024 - About 2 years ago
Identifiers
FL License # PH25236
FL Medicaid 003215500
ME Medicaid 1528369063
Other 5702647 NCPDP
FL Other 003215501 MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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