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
1503 GENESEE ST
UTICA, NY13501
Phone: 315-724-6504
Fax: 315-797-4543
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 1336664150
Legal business name
LBN
WALGREEN CO
Authorized official ALYSSA SWEETEN - (MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/14/2017
Last updated 11/02/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 036237
  • NY Medicaid: 05017294
  • NY Other: 5822716 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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