Organization · Type 2 NPI

Walgreen Co

Pharmacy · Massapequa Park, NY

NPI number 1760906689 Active

Practice location

5125 Merrick Rd
Massapequa Park, NY 11762-3728

Call (516) 798-7676 Map

Fax (516) 795-4059

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

NPI record

NPI: 1760906689
Entity type: Organization (Type 2)
Issued: Aug 2, 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 #19248 · doing business as

Authorized official

Alan Nielsen
Asst Treasurer
(847) 315-3523

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 1760906689

Walgreen Co's National Provider Identifier is 1760906689, issued on Aug 2, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Massapequa Park, NY. The record was last updated on Sep 26, 2017.