Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY MENNELLA (PHARMACY MANAGER)
(708) 535-6018
Entity
Organization
Contact information
Practice address
5525 159TH ST, OAK FOREST, IL 60452-3223
(708) 535-6018
(708) 535-7412
Mailing address
5525 159TH ST, OAK FOREST, IL 60452-3223
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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