| NPI | 1669668752 |
|---|---|
| Doing Business As | ALLIANCERX WALGREENS PRIME #12314 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP-0002419) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2021-05-11 |