Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RAYMOND KASPER R.PH. (PHARMACY MANAGER)
(773) 434-3621
Entity
Organization
Contact information
Practice address
7901 S WESTERN AVE, CHICAGO, IL 60620-5912
(773) 434-3621
(773) 434-4253
Mailing address
7901 S WESTERN AVE, CHICAGO, IL 60620-5912
(773) 434-3621
(773) 434-4253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
051-026562
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362127039139
—
IL
Enumeration date
11/22/2011
Last updated
11/22/2011
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