NPI | 1699151506 |
---|---|
Doing Business As | WALGREENS #16251 |
Entity Type | Organization |
Authorized Contact | ALYSSA A SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP-0003117) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2019-09-27 |