| NPI | 1659386977 |
|---|---|
| Doing Business As | WALGREENS #21144 |
| 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 |
| 333600000X Pharmacy (Licence: FL PH0013207) | |
| 333600000X Pharmacy (Licence: FL PH31547) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-03-07 |