Walgreens # 11104 is an authorized DME supplier for medicare equipments and products.
Walgreens # 11104 is a Pharmacy in Davenport, Florida. This pharmacy is owned and operated by Walgreen Co. This organization is also known as sub part of Walgreens Boots Alliance Inc. It is located at 40079 Highway 27, Davenport and it's customer support contact number is 863-547-3903. The authorized person of Walgreens # 11104 is Kira L Taylor who is Manager of the pharmacy and his contact number is 217-709-2351. Active license number of Walgreens # 11104 is PH25215 for Pharmacy in Florida. Walgreens # 11104 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Walgreens # 11104 is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Walgreens # 11104 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Walgreens # 11104
Type:
Pharmacy
Location:
40079 Highway 27, Davenport, Florida, 33837-7800
Phone:
863-547-3903
Fax:
863-421-0609
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kira L Taylor
Position:
Manager
Contact Number:
217-709-2351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1104127349
Parent Organization:
Walgreens Boots Alliance Inc
NPI Enumeration Date:
04 Nov, 2010
NPI Last Update On:
31 Oct, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walgreens # 11104 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PH25215
Florida
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5702421
Other
Ncpdp
003200700
Medicaid
Florida
003200701
Other
Florida
Medicaid Dme
Medicare Enrollment:
Walgreens # 11104 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0941278253
O20110401000401
Walgreen Co
DME SUPPLIER - PHARMACY
Products Available:
Walgreens # 11104 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1901 E Voorhees St, Ms 790 Danville, Illinois
Zip:
61834-4509
Phone Number:
217-709-2351
Fax Number:
217-709-2344
Patients can reach Walgreens # 11104 at 40079 Highway 27, Davenport, Florida or can call on customer care at 863-547-3903.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.