| NPI | 1306121116 |
|---|---|
| Doing Business As | WALGREENS SPECIALTY PHARMACY #15190 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY50807) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2024-11-02 |