# WALGREENS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356740187
- **Authorized official:** DR. KAYLA MCCLELLAN PHARMD (PHARMACIST)
- **Authorized official phone:** (575) 382-9100

## Contact information

- **Practice address:** 3490 NORTHRISE DR, LAS CRUCES, NM 88011-7295
- **Practice address phone:** (575) 382-9100
- **Mailing address:** 3490 NORTHRISE DR, LAS CRUCES, NM 88011-7295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RP00008239 | NM | Yes |

## Other

- **Enumeration date:** 08/18/2014
- **Last updated:** 08/18/2014