NPI | 1730412362 |
---|---|
Doing Business As | WALGREENS #12075 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: KY P01387) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
332B00000X Durable Medical Equipment & Medical Supplies | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2009-09-15 |
Last Update Date | 2023-02-10 |