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Walgreen Co
Community/Retail Pharmacy in Mattydale, New York
NPI 1063936185

Walgreen Co is a Community/Retail Pharmacy based in Danville, NY and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Mattydale, NY. The NPI Number for Walgreen Co is 1063936185 and holds a License No. (New York).

The current practice location address for Walgreen Co is 2616 Brewerton Rd, Mattydale, NY and can be reached out via phone at 315-455-5641 and via fax at 315-455-1748.

Location: 2616 Brewerton Rd, Mattydale, NY, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063936185
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
2616 Brewerton Rd, Mattydale, NY, 61834-4509
Phone Number
315-455-5641
Fax Number
315-455-1748
Provider Enumeration Date
07/31/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05066922 05 NY
5822514 01 NY NCPDP
institution
Provider Business Practice Location Address Details
Address
2616 Brewerton Rd
City
Mattydale
State
New York
Zip
13211-1202
Phone Number
315-455-5641
Fax Number
315-455-1748
person
Provider Business Mailing Address Details
Address
2616 Brewerton Rd
City
Mattydale
State
New York
Zip
13211-1202
Phone Number
315-455-5641
Fax Number
315-455-1748
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
036206 (New York)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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