NPI | 1578951125 |
---|---|
Doing Business As | WALGREENS #14501 |
Entity Type | Organization |
Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 033347) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2015-01-06 |
Last Update Date | 2019-02-07 |