# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699056648
- **Authorized official:** MR. NATHAN LIM (PHARMACY SUPERVISOR)
- **Authorized official phone:** (847) 465-0951

## Contact information

- **Practice address:** 225 E ROOSEVELT RD, LOMBARD, IL 60148-4555
- **Practice address phone:** (630) 627-9784
- **Practice address fax:** (630) 627-9792
- **Mailing address:** 225 E ROOSEVELT RD, LOMBARD, IL 60148-4555
- **Mailing address phone:** (630) 627-9784
- **Mailing address fax:** (630) 627-9792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2011
- **Last updated:** 09/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 362127039478 | — | IL |