NPI | 1326053463 |
---|---|
Doing Business As | WALGREENS #03363 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60004462A) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2024-09-10 |