NPI | 1063427300 |
---|---|
Doing Business As | WALGREENS #03585 |
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy (Licence: CO 240000102) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2024-06-14 |