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Walgreens

Clinic/Center, Community Health in Chicago, IL. Organization (NPI-2).

NPI number1699050641
StatusActive
Last updated in NPPESOct 20, 2011

Details

NPI
1699050641
Entity type
Organization (NPI-2)
Legal business name
Walgreens
Organization subpart
No
Enumeration date
Oct 20, 2011
Last updated
Oct 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QC1500X Clinic/Center, Community Health051292802ILYes

Practice location

3019 W Peterson Ave
Chicago, IL 60659-3726

Phone 773-728-6254

Mailing address

1844 N Lincoln Ave
Apt 1
Chicago, IL 60614-7799

Phone 217-494-8283

Authorized official

Lauren Moja
Pharmacist
7737286254

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