| NPI | 1285795880 |
|---|---|
| Doing Business As | WALGREENS #15119 |
| Entity Type | Organization |
| Authorized Contact | KERMIT R CRAWFORD President, Pharmacy Services 847-315-3154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004125) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-04-09 |