| NPI | 1417492174 |
|---|---|
| Doing Business As | COMMUNITY, A WALGREENS PHARMACY #16517 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KS 2-102089) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-05-06 |