NPI | 1477076842 |
---|---|
Doing Business As | WALGREENS #19273 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.0320000005) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2017-07-18 |
Last Update Date | 2022-06-07 |