NPI | 1659513018 |
---|---|
Doing Business As | ALLIANCERX WALGREENS PHARMACY #16287 |
Entity Type | Organization |
Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
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 | 2022-06-21 |