NPI | 1225339971 |
---|---|
Doing Business As | WALGREEN SPECIALTY PHARMACY #12201 |
Entity Type | Organization |
Authorized Contact | KERMIT R CRAWFORD Sr Corporate Vice President 847-914-3154 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2010-11-11 |
Last Update Date | 2011-01-20 |