Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MOJA (PHARMACIST)
(773) 728-6254
Entity
Organization
Contact information
Practice address
3019 W PETERSON AVE, CHICAGO, IL 60659-3726
(773) 728-6254
Mailing address
1844 N LINCOLN AVE, APT 1, CHICAGO, IL 60614-7799
(217) 494-8283
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
051292802
IL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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