| NPI | 1043225048 |
|---|---|
| Doing Business As | WALGREEN DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GONZALEZ Supervisor 217-554-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 2524750) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |