NPI | 1225043409 |
---|---|
Doing Business As | WALGREENS #05638 |
Entity Type | Organization |
Authorized Contact | KIRA L TAYLOR Manger 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: MD P06775) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2022-04-28 |