# WALTER LAGESTEE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walt's Pharmacy \#3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740365782
- **Authorized official:** PATRICK J EGAN PHARMACIST (THIRD PARTY COORDINATOR)
- **Authorized official phone:** (708) 957-2974

## Contact information

- **Practice address:** 16039 HARLEM AVE, TINLEY PARK, IL 60477-1611
- **Practice address phone:** (708) 532-5775
- **Practice address fax:** (708) 532-7262
- **Mailing address:** 16039 HARLEM AVE, TINLEY PARK, IL 60477-1611
- **Mailing address phone:** (708) 532-5775
- **Mailing address fax:** (708) 532-7262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-11906 | IL | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 11/16/2012