WALGREEN CO NPI 1366966632

NPI Information

WALGREEN CO is a pharmacy in Syracuse, NY. The provider is 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. WALGREEN CO NPI is 1366966632. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #19549.

The provider's business location address is:

4751 ONONDAGA BLVD
SYRACUSE, NY
ZIP 13219-315
Phone: (315) 476-2141
Fax: (315) 475-8632

The provider's authorized official is Alyssa Sweeten .
The authorized official title is Manager and has the following contact phone number (217) 709-2386.

The CLIA number assigned to this NPI record is 33D2240921 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2017 and was last updated on 4/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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