| NPI | 1174606586 |
|---|---|
| Doing Business As | WALGREENS #15830 |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR09676) |
| 333600000X Pharmacy (Licence: AR AR09676) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-06-15 |