Organization · Type 2 NPI

Walgreen Co

Pharmacy · Brockport, NY

NPI number 1053835629 Active

Practice location

73 N Main St
Brockport, NY 14420-1648

Fax (585) 637-7793

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X036247 (NY)
Community/Retail Pharmacy 3336C0003XNone listed

Pharmacy: 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 lo…

7 other providers at this address

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About NPI 1053835629

Walgreen Co's National Provider Identifier is 1053835629, issued on Jul 26, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Brockport, NY. The record was last updated on Jun 23, 2026.