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 |