| NPI | 1710060124 |
|---|---|
| Doing Business As | WALGREENS #15852 |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20094) |
| 333600000X Pharmacy (Licence: AR AR20094) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-06-05 |