National Provider Identifier
Walgreen CO
Walgreen CO is listed in the NPPES registry with a primary specialty of Pharmacy in Rochester, NY and a listed phone number of (585) 266-8994.
Profile Overview
- NPI
- 1104062579
- Provider Type
- Organization
- Primary Specialty
- Pharmacy
- Enumeration Date
- January 06, 2009
- Last Updated
- November 07, 2023
Practice Location
- 720 E Ridge RD
- Rochester, NY 14621-1719
Phone: (585) 266-8994
Mailing Address
- 1901 E Voorhees St
- MS #790
- Danville, IL 61834-4509
Specialties
- Pharmacy (333600000X)
- Community/Retail Pharmacy (3336C0003X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1104062579
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Walgreen CO
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 1901 E Voorhees St
- Mailing Address Line 2
- MS #790
- Mailing City
- Danville
- Mailing State
- IL
- Mailing ZIP Code
- 61834-4509
- Mailing Country
- US
- Mailing Phone
- (217) 709-2351
- Mailing Fax
- (217) 709-2344
- Practice Street Address
- 720 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1719
- Practice Country
- US
- Practice Phone
- (585) 266-8994
- Practice Fax
- (585) 266-9015
- Enumeration Date
- January 06, 2009
- Last Updated
- November 07, 2023
- Authorized Official Last Name
- Taylor
- Authorized Official First Name
- Kira
- Authorized Official Title
- Manager
- Authorized Official Phone
- (217) 709-2351
- Organization Subpart
- Yes
- Parent Organization Name
- WALGREENS BOOTS ALLIANCE INC
- Parent Organization TIN
- <UNAVAIL>
- Certification Date
- November 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacy (333600000X), Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X)
- Other Identifiers
- 3359571 (NY, Ncpdp), 03104432 (NY)