| NPI | 1942215165 |
|---|---|
| Doing Business As | WALGREENS #07817 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PONCE Manager 847-524-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KS 2-13098) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-11-24 |