Organization · Type 2 NPI

Walgreen Co

Pharmacy · Paterson, NJ

NPI number 1396255691 Active

Practice location

368 Broadway Ave
Paterson, NJ 07501

Call (973) 413-2169 Map

Fax (973) 413-2170

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	28RS00761300 (NJ)
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…

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NPI record

NPI: 1396255691
Entity type: Organization (Type 2)
Issued: Oct 2, 2017
Last updated: Nov 21, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #16566 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

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 1396255691

Walgreen Co's National Provider Identifier is 1396255691, issued on Oct 2, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Paterson, NJ. The record was last updated on Nov 21, 2024.