NPI 1073030722
Walgreen Co
Practice location
- Address
- 583 Grandview Ave, Ridgewood, NY 11385-2453
- Phone
- (718) 326-4752
- Fax
- (718) 326-4785
- Mailing address
- 1901 E Voorhees St # Ms 790, Danville, IL 61834-4509
Authorised official
- Name
- Alan Nielsen
- Title
- Asst Treasurer
- Phone
- (847) 315-3523
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1073030722
- Entity type
- Organization
- NPI issued
- 24 Aug 2017
- Record last updated
- 24 Aug 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.