NPI | 1396018883 |
---|---|
Doing Business As | WALGREENS # 15311 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2012013999) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2012-02-15 |
Last Update Date | 2023-10-05 |