NPI | 1669630331 |
---|---|
Doing Business As | WALGREENS #11095 |
Entity Type | Organization |
Authorized Contact | JENNIFER PONCE Manager 847-527-2489 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: OK 1-5315) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2008-05-29 |
Last Update Date | 2025-08-06 |