NPI | 1568700961 |
---|---|
Doing Business As | WALGREENS #15352 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 031820) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2013-01-21 |
Last Update Date | 2025-06-25 |