| NPI | 1992996490 |
|---|---|
| Doing Business As | WALGREENS #11248 |
| Entity Type | Organization |
| Authorized Contact | KERMIT R. CRAWFORD Sr, Vice President 847-914-3154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 600004383A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-06-05 |