Organization · Type 2 NPI

Walgreen Co

Pharmacy · Ridgewood, NY

NPI number 1114440070 Active

Practice location

5560 Myrtle Ave
Ridgewood, NY 11385-3554

Call (718) 456-8555 Map

Fax (718) 386-6056

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…

5 other providers at this address

Other pharmacy providers in Ridgewood

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NPI record

NPI: 1114440070
Entity type: Organization (Type 2)
Issued: Jul 24, 2017
Last updated: Sep 21, 2017
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid · doing business as
Rite Aid #17703 · 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 1114440070

Walgreen Co's National Provider Identifier is 1114440070, issued on Jul 24, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ridgewood, NY. The record was last updated on Sep 21, 2017.