# WALGREENS

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

## Provider details

- **NPI number:** 1558644914
- **Authorized official:** MRS. EMAN GOBRAN PHD (PHARMACY MANAGER)
- **Authorized official phone:** (702) 580-0123

## Contact information

- **Practice address:** 6101 W LAKE MEAD BLVD, LAS VEGAS, NV 89108-2660
- **Practice address phone:** (702) 648-2732
- **Mailing address:** 1025 CORNERSTONE PL, N LAS VEGAS, NV 89031-1826
- **Mailing address phone:** (702) 580-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 15284 | NV | Yes |

## Other

- **Enumeration date:** 09/22/2011
- **Last updated:** 09/22/2011