NPI 1083131759

Walgreen Co

Organisation Pharmacy Ridgewood, NY

Practice location

Address: 6036 Myrtle Ave, Ridgewood, NY 11385
Phone: (718) 497-5190
Fax: (718) 497-5590
Mailing address: 1901 E Voorhees St Ms 790, Danville, IL 61834-4509

Authorised official

Name: Kira Taylor
Title: Manager
Phone: (217) 709-2351

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 036415 (NY)

Other Pharmacy providers in New York →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1083131759
Entity type: Organization
NPI issued: 24 Aug 2017
Record last updated: 23 Jun 2026

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.