Walgreens Pharmacy
Organization Active NPI Pharmacist · Las Cruces, NM
NPI 1356740187 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1356740187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008239 (NM)
- Legal business name
- WALGREENS PHARMACY
- Practice address
- 3490 Northrise Dr
Las Cruces, NM 88011-7295 - Phone
- (575) 382-9100
- NPI assigned
- Aug 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Kayla McClellan, PHARMD
- Title
- Pharmacist
- Phone
- (575) 382-9100
Corporate family (same tax ID) 24
Practitioners 4
-
Eva Kamianowski, RPH
-
Jennifer Morales, PHARM D
-
Nicole Darcel Lucas, PHARM D
National Provider Directory
- Tax ID family
- Walgreen Co
Locations
3490 Northrise Dr
Las Cruces, NM 88011
Phone (575) 382-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | RP00008239 | NM | Yes |
Addresses
Primary practice location
3490 Northrise Dr
Las Cruces, NM 88011-7295
Mailing address
3490 Northrise Dr
Las Cruces, NM 88011-7295
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.