NPI | 1831415033 |
---|---|
Doing Business As | WALGREENS # 12539 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NV PH02610) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2010-04-13 |
Last Update Date | 2022-04-04 |