NPI | 1881808764 |
---|---|
Doing Business As | COMMUNITY, A WALGREENS PHARMACY #20583 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 028403) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0002X Pharmacy, Clinic Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2022-06-13 |