| NPI | 1134498942 |
|---|---|
| Other Name | WALGREENS |
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN MCCALL Pharmacist 937-478-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OH 03315609) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: OH 03315609) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |