| NPI | 1982788642 |
|---|---|
| Doing Business As | WALGREENS #15777 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 24501) |
| 333600000X Pharmacy (Licence: OK 24501) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-05-02 |