Organization · Type 2 NPI

Walgreen Co

Pharmacy · Las Vegas, NV

NPI number 1245402916 Active

Practice location

5610 Centennial Center Blvd
Las Vegas, NV 89149-7104

Call (702) 395-3282 Map

Fax (702) 395-8675

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH02372 (NV)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

5 other providers at this address

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NPI record

NPI: 1245402916
Entity type: Organization (Type 2)
Issued: Apr 2, 2008
Last updated: Oct 12, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreen #10782 · doing business as
Walgreen #10782 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245402916

Walgreen Co's National Provider Identifier is 1245402916, issued on Apr 2, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 12, 2026.