| NPI | 1639157092 |
|---|---|
| Doing Business As | WALGREENS #15793 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20069) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: AR AR20069) | |
| 333600000X Pharmacy (Licence: AR AR20069) | |
| 333600000X Pharmacy (Licence: OK 88S1330) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2022-05-03 |