NPI | 1407080047 |
---|---|
Doing Business As | WALGREENS #10307 |
Entity Type | Organization |
Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy (Licence: CO PDO-771) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2023-10-30 |