| NPI | 1861409872 | 
|---|---|
| Doing Business As | WALGREENS #15155 | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 15604) | 
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory | 
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-02 | 
| Last Update Date | 2025-08-05 |