| NPI | 1477761906 |
|---|---|
| Doing Business As | WALGREENS #11255 |
| Entity Type | Organization |
| Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: CO PDO-435) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-10-27 |