Walter Lagestee Incorporated
Pharmacy, Community/Retail Pharmacy in Homewood, IL. Organization (NPI-2).
NPI number1114002136
StatusActive
Last updated in NPPESNov 16, 2012
Details
- NPI
- 1114002136
- Entity type
- Organization (NPI-2)
- Legal business name
- Walter Lagestee Incorporated
- Organization subpart
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Nov 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054-11907 | IL | Yes |
Other names
- Walt'S Pharmacy #2 (Doing Business As)
Practice location
2345 183rd StHomewood, IL 60430-3140
Phone 708-957-2974 · Fax 708-957-9331
Mailing address
2345 183rd StHomewood, IL 60430-3140
Phone 708-957-2974 · Fax 708-957-9331
Authorized official
Patrick J Egan
Third Party Coordinator
7089572974
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Homewood, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.