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 1063763134

Walgreen Co is a Clinical Medical Laboratory in Red Oak, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
4

Practice location Address checks out

107 E Ovilla Rd
Red Oak, TX 75154-2445
Phone: (972) 576-3303
Fax: (972) 576-3716
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 28274 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1063763134
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #9947; Walgreens #9947
NPI enumeratedSeptember 28, 2012
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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