NPI | 1134530140 |
---|---|
Doing Business As | COMMUNITY, A WALGREENS PHARMACY #21215 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: TN 00005484) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2022-06-14 |