NPI | 1043538127 |
---|---|
Doing Business As | WALGREENS # 11808 |
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 030277) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2010-05-13 |
Last Update Date | 2024-07-30 |