NPI | 1427229061 |
---|---|
Doing Business As | WALGREENS #09374 |
Entity Type | Organization |
Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: RI PHA00441) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2008-03-21 |
Last Update Date | 2019-12-11 |