| NPI | 1043467350 |
|---|---|
| Doing Business As | WALGREENS #12076 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P07304) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-09-11 |