| NPI | 1922152891 | 
|---|---|
| Doing Business As | WALGREENS #09620 | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER PONCE Manager 847-527-2489 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHE009117) | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2025-10-02 |