Walgreen Eastern Co INC
Pharmacy, Community/Retail Pharmacy in Enfield, CT. Organization (NPI-2).
NPI number1104831452
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1104831452
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Eastern Co INC
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Last updated
- Jan 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 1267 | CT | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walgreens #01824 (Doing Business As)
Practice location
30 Hazard AveEnfield, CT 06082-3713
Phone 860-741-3503
Mailing address
1901 E Voorhees StMailstop #790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alyssa Sweeten
Manager
2177092386
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All 6 Community/Retail Pharmacy providers in Enfield · All 1,220 providers in Enfield
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