| Walgreens Pharmacy #12427 | |
|
2305 W Monroe Springfield IL 62704 | |
| (217) 546-9558 | |
| Not Available |
| Full Name | Walgreens Pharmacy #12427 |
|---|---|
| Speciality | Clinic/center |
| Location | 2305 W Monroe, Springfield, Illinois |
| Authorized Official Name and Position | Ryan Bouchard (MANAGER) |
| Authorized Official Contact | 2175469558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walgreens Pharmacy #12427 2305 W Monroe Springfield IL 62704 Ph: (217) 546-9558 | Walgreens Pharmacy #12427 2305 W Monroe Springfield IL 62704 Ph: (217) 546-9558 |
| NPI Number | 1770868457 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770868457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 051-031981 (Illinois) | Primary |
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