NPI | 1679526974 |
---|---|
Doing Business As | WALGREENS SPECIALTY PHARMACY #12313 |
Entity Type | Organization |
Authorized Contact | ALAN T NIELSEN Treasurer 847-315-3523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00656500) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-12-31 |