| NPI | 1972847044 |
|---|---|
| Doing Business As | WALGREEN SPECIALTY PHARMACY #12314 |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-08-31 |