Organization · Type 2 NPI

Walgreen Co

Pharmacy · West Sand Lake, NY

NPI number 1124541917 Active

Practice location

4357 Ny Hwy 150
West Sand Lake, NY 12196

Fax (518) 674-8039

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 333600000X036123 (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…

About NPI 1124541917

Walgreen Co's National Provider Identifier is 1124541917, issued on Jul 24, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in West Sand Lake, NY. The record was last updated on Jun 23, 2026.