Organization · Type 2 NPI

Walgreen Co

Pharmacy · New Haven, CT

NPI number 1063714715 Active

Practice location

60 Temple St
New Haven, CT 06510-2717

Call (203) 777-7758 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PCY.0002202 (CT)
Community/Retail Pharmacy	3336C0003X	None 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…

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NPI record

NPI: 1063714715
Entity type: Organization (Type 2)
Issued: Dec 1, 2010
Last updated: Jun 15, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #13944 · doing business as
Walgreens #13944 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063714715

Walgreen Co's National Provider Identifier is 1063714715, issued on Dec 1, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New Haven, CT. The record was last updated on Jun 15, 2018.