NPI | 1255589503 |
---|---|
Doing Business As | WALGREENS #11978 |
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: WV MP0552371) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2008-08-28 |
Last Update Date | 2024-07-29 |