NPI | 1194730473 |
---|---|
Doing Business As | WALGREENS #05219 |
Entity Type | Organization |
Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY45035) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2018-06-15 |