| NPI | 1306923271 |
|---|---|
| Doing Business As | BENNETT APOTHECARY #15738, POWERED BY WALGREENS |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01049011) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-06-15 |