| NPI | 1164670055 |
|---|---|
| Doing Business As | WALGREENS #12153 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2009000489) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2022-03-29 |