NPI | 1407861701 |
---|---|
Doing Business As | WALGREENS #15994 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH12365) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31455) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2023-03-07 |