NPI | 1154337699 |
---|---|
Doing Business As | WALGREENS #3618 |
Entity Type | Organization |
Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: KY 1471) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2023-11-06 |