NPI | 1477571404 |
---|---|
Doing Business As | ALLIANCERX WALGREENS PHARMACY #16280 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 29801) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 22618) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TX 22618) | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-06-11 |