Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fairport, NY

NPI number 1235654906 Active

Practice location

6720 Pittsford Palmyra Rd
Fairport, NY 14450-3344

Call (585) 223-1460 Map

Fax (585) 223-5139

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…

8 other providers at this address

Other pharmacy providers in Fairport

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NPI record

NPI: 1235654906
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 #19498 · 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 1235654906

Walgreen Co's National Provider Identifier is 1235654906, issued on Aug 3, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fairport, NY. The record was last updated on Sep 26, 2017.