Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRINE TRAVOUS (PHARMACIST)
(702) 428-7009
Entity
Organization
Contact information
Practice address
6401 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1118
(702) 259-7002
Mailing address
6401 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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