| NPI | 1730673385 |
|---|---|
| Doing Business As | WALGREENS #21162 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: FL PH31617) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-03-07 |