Organization · Type 2 NPI

Walgreen Co

Pharmacy · Mattituck, NY

NPI number 1972029056 Active

Practice location

10095 Rte 25
Mattituck, NY 11952-0903

Fax (631) 298-3598

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 333600000X036407 (NY)
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…

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About NPI 1972029056

Walgreen Co's National Provider Identifier is 1972029056, issued on Aug 21, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Mattituck, NY. The record was last updated on Jun 24, 2026.