| NPI | 1952510174 |
|---|---|
| Doing Business As | WALGREENS #11863 |
| Entity Type | Organization |
| Authorized Contact | KIRA L TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: CO PD-240000016) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-30 |