NPI | 1184148884 |
---|---|
Doing Business As | WALGREENS #19690 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00507300) |
Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-06-09 |