| NPI | 1366461444 |
|---|---|
| Doing Business As | WALGREENS #11055 |
| Entity Type | Organization |
| Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DE A3-0000832) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-10-30 |