NPI | 1164437406 |
---|---|
Doing Business As | ALLIANCERX WALGREENS PHARMACY #3397 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AZ Y007099) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2024-06-11 |