Walgreen Co
Pharmacy in Dorchester, MA. Organization (NPI-2).
NPI number1619984697
StatusActive
Last updated in NPPESAug 26, 2016
Details
- NPI
- 1619984697
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 2, 2006
- Last updated
- Aug 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 3246 | MA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #06805 (Doing Business As)
Practice location
130 Bowdoin StDorchester, MA 02122-1837
Phone 617-265-7635
Mailing address
1901 E Voorhees StMailstop #790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alan T Nielsen
Treasurer
8473153523
Is something wrong?
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All 9 Pharmacy providers in Dorchester · All 1,989 providers in Dorchester
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