Organization · Type 2 NPI

Walgreen Co

Pharmacy · Passaic, NJ

NPI number 1972027670 Active

Practice location

116 130 Broadway
Passaic, NJ 07055-3905

Call (973) 779-2865 Map

Fax (973) 779-3897

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	28RS00498300 (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…

Other pharmacy providers in Passaic

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NPI record

NPI: 1972027670
Entity type: Organization (Type 2)
Issued: Aug 3, 2017
Last updated: Aug 25, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #19184 · doing business as
Walgreens #19184 · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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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 1972027670

Walgreen Co's National Provider Identifier is 1972027670, issued on Aug 3, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Passaic, NJ. The record was last updated on Aug 25, 2026.