NPI | 1639252257 |
---|---|
Doing Business As | WALGREENS #15714 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20067) |
333600000X Pharmacy (Licence: AR AR20067) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2025-03-28 |