Walgreens

NPI #1568742211 in Fairview Heights, Illinois

Provider Information

NPI Number
1568742211
Entity Type
Organization
Organization Name
Walgreens
Primary Specialty
Health Maintenance Organization
Enumeration Date
Aug 25, 2011
Last Updated
Aug 25, 2011

Practice Location

Address
6505 N ILLINOIS ST
ZIP Code
62208-2001
Phone
(618) 394-8744

Authorized Official

Name
DR. DORTHY J EVANS, PHARM D
Title
PHARMACIST
Phone
(618) 394-8744

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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