| NPI | 1659139624 | 
|---|---|
| Doing Business As | WALGREENS #21452 | 
| Entity Type | Organization | 
| Authorized Contact | VIRGINIA GARZA Director 217-709-2364  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-03-13 | 
| Last Update Date | 2025-09-24 |