NPI | 1114255049 |
---|---|
Doing Business As | WALGREENS #12818 |
Entity Type | Organization |
Authorized Contact | ALAN T NIELSEN Treasurer 847-315-3523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: ME PH50001389) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2009-12-04 |
Last Update Date | 2016-01-13 |