Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Clinical Medical Laboratory · NPI 1043467350

Walgreen Co is a Clinical Medical Laboratory in Lebanon, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
4

Practice location Address checks out

512 W Main St
Lebanon, KY 40033-1339
Phone: (270) 692-0471
Fax: (270) 699-9595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence P07304 (KY)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1043467350
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #12076; Walgreens #12076
NPI enumeratedAugust 19, 2008
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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