Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1083629133

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Deer Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1770 Deer Park Ave
Deer Park, NY 11729-5203
Phone: (631) 667-7023
Fax: (631) 667-7044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 24850 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1083629133
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #05439; Walgreens #05439
NPI enumeratedJuly 29, 2006
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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