NPI | 1407039159 |
---|---|
Doing Business As | WALGREENS #11829 |
Entity Type | Organization |
Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054.016391) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2007-12-17 |
Last Update Date | 2023-11-02 |