NPI | 1588851315 |
---|---|
Other Name | WALGREENS #11503 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: MT 1239) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2025-08-06 |