| NPI | 1114665924 |
|---|---|
| Doing Business As | WALGREENS #5711 |
| Entity Type | Organization |
| Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |