| NPI | 1902321128 |
|---|---|
| Doing Business As | WALGREENS #17502 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 224-475-5702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA DS90177) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2025-07-24 |