| NPI | 1417284845 |
|---|---|
| Doing Business As | WALGREENS SPECIALTY PHARMACY #15438 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L PONCE Manager 847-527-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2024-10-08 |