Organization · Type 2 NPI

Walgreen Eastern Co Inc

Community/Retail Pharmacy · Enfield, CT

NPI number 1104831452 Active

Practice location

30 Hazard Ave
Enfield, CT 06082-3713

Call (860) 741-3503 Map

Mailing address

1901 E Voorhees St, Mailstop #790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	1267 (CT)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Enfield

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NPI record

NPI: 1104831452
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Jan 14, 2019
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #01824 · doing business as
Walgreens #01824 · 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 1104831452

Walgreen Eastern Co Inc's National Provider Identifier is 1104831452, issued on Jul 29, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Enfield, CT. The record was last updated on Jan 14, 2019.