# WALGREEN EASTERN CO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558729491
- **Authorized official:** DR. DAVID NICHOLAS GOODMAN DR (PHARMACIST)
- **Authorized official phone:** (315) 404-4859

## Contact information

- **Practice address:** 49 KELLOGG RD, NEW HARTFORD, NY 13413
- **Practice address phone:** (315) 734-1893
- **Practice address fax:** (315) 734-1896
- **Mailing address:** 49 KELLOGG RD, NEW HARTFORD, NY 13413-2849
- **Mailing address phone:** (315) 734-1893
- **Mailing address fax:** (315) 734-1896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | I060633-1 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2016
- **Last updated:** 08/16/2018