Walgreens Boots Alliance
Pharmacy, Community/Retail Pharmacy in Wauconda, IL. Organization (NPI-2).
NPI number1831978451
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1831978451
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreens Boots Alliance
- Organization subpart
- No
- Enumeration date
- Sep 22, 2023
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
602 W Liberty StWauconda, IL 60084-3405
Phone 847-487-9383 · Fax 847-487-9626
Mailing address
1190 Thornwood LnCrystal Lake, IL 60014-5038
Phone 847-873-9925
Authorized official
Lisa S Bajorek
Pharmacist
8478739925
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