Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN LIM (PHARMACY SUPERVISOR)
(847) 465-0951
Entity
Organization
Contact information
Practice address
225 E ROOSEVELT RD, LOMBARD, IL 60148-4555
(630) 627-9784
(630) 627-9792
Mailing address
225 E ROOSEVELT RD, LOMBARD, IL 60148-4555
(630) 627-9784
(630) 627-9792
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362127039478
—
IL
Enumeration date
09/05/2011
Last updated
09/05/2011
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