Walgreen Medical Supply LLC

NPI #1215195730 in Mokena, Illinois

Provider Information

NPI Number: 1215195730
Entity Type: Organization
Organization Name: Walgreen Medical Supply LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WALGREENS BOOTS ALLIANCE INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 30, 2008
Last Updated: Oct 30, 2015

Practice Location

Address: 18861 90TH AVE
Address 2: SUITE D
City: Mokena
State: Illinois
ZIP Code: 60448-8178
Phone: (708) 390-5858

Authorized Official

Name: MR. ALAN NIELSEN
Title: TREASURER
Phone: (847) 315-3523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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