NPI | 1134384506 |
---|---|
Doing Business As | WALGREENS #11724 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: SC 50010144) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2008-07-24 |
Last Update Date | 2023-11-02 |