Organization · Type 2 NPI

Walgreen Co

Pharmacy · Medford, NY

NPI number 1093239790 Active

Practice location

2799 Route 112
Medford, NY 11763-2535

Call (631) 758-2800 Map

Fax (631) 758-2804

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	None listed
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…

9 other providers at this address

Other pharmacy providers in Medford

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NPI record

NPI: 1093239790
Entity type: Organization (Type 2)
Issued: Aug 3, 2017
Last updated: Sep 26, 2017
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Rite Aid · doing business as
Rite Aid #19347 · doing business as

Authorized official

Alan Nielsen
Asst Treasurer
(847) 315-3523

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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 1093239790

Walgreen Co's National Provider Identifier is 1093239790, issued on Aug 3, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Medford, NY. The record was last updated on Sep 26, 2017.