NPI | 1598288581 |
---|---|
Doing Business As | WALGREENS #17412 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2017-07-21 |
Last Update Date | 2020-06-12 |