NPI | 1164795696 |
---|---|
Doing Business As | WALGREENS # 15323 |
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Director 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60006297A) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2012-02-14 |
Last Update Date | 2024-03-06 |