Organization
WALGREENS BOOTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTYNA KHOPTA PHARMD (PHARMACY MANAGER/PHARMACIST)
(630) 893-5171
Entity
Organization
Contact information
Practice address
445 E MAPLE AVE, ROSELLE, IL 60172-2203
(630) 893-5171
Mailing address
445 E MAPLE AVE, ROSELLE, IL 60172-2203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051297137
IL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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