Organization · Type 2 NPI

Walgreen Co

Pharmacy · South Orange, NJ

NPI number 1629593058 Active

Practice location

139 S Orange Ave
South Orange, NJ 07079-1901

Fax (973) 275-3956

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 333600000X28RS00509300 (NJ)
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…

4 other providers at this address

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About NPI 1629593058

Walgreen Co's National Provider Identifier is 1629593058, issued on Aug 7, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in South Orange, NJ. The record was last updated on Aug 25, 2026.