NPI | 1235360181 |
---|---|
Doing Business As | WALGREENS #12630 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NC 10361) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2024-10-10 |