NPI | 1154651438 |
---|---|
Doing Business As | WALGREENS #12428 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA 006233) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2010-01-08 |
Last Update Date | 2022-04-01 |