NPI | 1790729457 |
---|---|
Doing Business As | WALGREENS #09555 |
Entity Type | Organization |
Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NC 09299) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2024-07-25 |