Walgreens Pharmacy #12427
NPI #1770868457 in Springfield, Illinois
Provider Information
- NPI Number
- 1770868457
- Entity Type
- Organization
- Organization Name
- Walgreens Pharmacy #12427
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 13, 2011
- Last Updated
- Oct 13, 2011
Practice Location
- Address
- 2305 W MONROE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704
- Phone
- (217) 546-9558
Authorized Official
- Name
- RYAN BOUCHARD, R.PH
- Title
- MANAGER
- Phone
- (217) 546-9558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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