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Walgreen Co

Pharmacy in Las Vegas, NV. Organization (NPI-2).

NPI number1437423670
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1437423670
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Mar 6, 2012
Certification date
Oct 12, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens Specialty Pharmacy #15312 (Doing Business As)

Practice location

901 S Rancho Dr Ste 20
Las Vegas, NV 89106

Phone 702-471-7828 · Fax 702-471-7805

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4515

Phone 847-527-2489 · Fax 217-709-2344

Authorized official

Jennifer Ponce
Manager
8475272489

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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