Walter Lagestee Incorporated

NPI #1114002136 in Homewood, Illinois

Provider Information

NPI Number
1114002136
Entity Type
Organization
Organization Name
Walter Lagestee Incorporated
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 26, 2006
Last Updated
Nov 16, 2012

Practice Location

Address
2345 183RD ST
ZIP Code
60430-3140
Phone
(708) 957-2974

Authorized Official

Name
MR. PATRICK J EGAN, PHARMACIST
Title
THIRD PARTY COORDINATOR
Phone
(708) 957-2974

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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