| NPI | 1477571404 |
|---|---|
| Doing Business As | WALGREENS SPECIALTY PHARMACY #16280 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
| 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 | 2024-11-11 |