Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN FALSEY (PHARMACY SUPERVISOR)
(815) 397-1587
Entity
Organization
Contact information
Practice address
1201 E STATE ST, ROCKFORD, IL 61104-2212
(815) 962-2812
Mailing address
1201 E STATE ST, ROCKFORD, IL 61104-2212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051292971
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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