Walgreen Co
Organization Active NPI Pharmacy · Port Jefferson Station, NY
NPI 1013434547 · NPPES record last updated Aug 25, 2017
Key facts
- NPI
- 1013434547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- WALGREEN CO
- Practice address
- 593 Old Town Rd
Port Jefferson Station, NY 11776-4244 - Phone
- (631) 473-4500
- Fax
- (631) 473-6530
- NPI assigned
- Aug 25, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- WALGREENS BOOTS ALLIANCE INC
Authorized official
- Name
- Alan Nielsen
- Title
- Asst Treasurer
- Phone
- (847) 315-3523
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
593 Old Town Rd
Port Jefferson Station, NY 11776-4244
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other names
- Rite Aid
Other providers in Port Jefferson Station, NY
- Kaitlyn Marie Von Werne
- Diane Voos
- Holly Ann Vulpis
- Allysa J Wachholder
- Matthew Robert Wagner
- Walgreen Co
- Dawn M Walker
- Christine Marie Wall
- Marie E Walsh
- Walter Homayoon DDS, PC
All providers in Port Jefferson Station, NY · Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.