National Provider Identifier Database

WALGREEN CO
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 located.


Contact Information

WALGREEN CO
4357 NY HWY 150
WEST SAND LAKE, NY12196
Phone: 518-674-5877
Fax: 518-674-8039
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI Number 1124541917
Legal business name
LBN
WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 07/24/2017
Last updated 05/16/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 036123
  • NY Medicaid: 05009641
  • NY Other: 5821740 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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