Organization
WALGREENS CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KSENIYA KOZLOVA PHARMD (PHARMACIST)
(702) 547-6215
Entity
Organization
Contact information
Practice address
611 MALL RING CIR, HENDERSON, NV 89014-6619
(702) 433-0144
Mailing address
611 MALL RING CIR, HENDERSON, NV 89014-6619
(702) 433-0144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18823
NV
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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