| NPI | 1104831452 | 
|---|---|
| Doing Business As | WALGREENS #01824 | 
| Entity Type | Organization | 
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Additional Taxonomies | 333600000X Pharmacy (Licence: CT 1267)  | 
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-29 | 
| Last Update Date | 2019-01-14 |