# WALGREENS

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

## Provider details

- **NPI number:** 1467861633
- **Authorized official:** MELVIN WANG PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (702) 655-7258

## Contact information

- **Practice address:** 8500 W CHEYENNE AVE, LAS VEGAS, NV 89129-7262
- **Practice address phone:** (702) 655-7258
- **Practice address fax:** (702) 655-7295
- **Mailing address:** 8500 W CHEYENNE AVE, LAS VEGAS, NV 89129-7262
- **Mailing address phone:** (702) 655-7258
- **Mailing address fax:** (702) 655-7295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 18790 | NV | Yes |

## Other

- **Enumeration date:** 08/12/2014
- **Last updated:** 08/12/2014
