| NPI | 1659513018 |
|---|---|
| Doing Business As | WALGREENS SPECIALTY PHARMACY #16287 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415372L) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: PA PP415372L) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-09-30 |