Walgreen Co
Pharmacy in Pine Bush, NY. Organization (NPI-2).
NPI number1982127916
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1982127916
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 21, 2017
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 036349 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #17494 (Doing Business As)
Practice location
2460 Route 52Pine Bush, NY 12566-7038
Phone 845-744-8845 · Fax 845-744-8848
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira Taylor
Manager
2177092351
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