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

Walgreen Co

Organization Clinical Medical Laboratory · NPI 1114932100

Walgreen Co is a Clinical Medical Laboratory in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

1701 W Southlake Blvd
Southlake, TX 76092-6803
Phone: (817) 488-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 20631 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1114932100
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Kira Taylor — Manager · (217) 709-2351
Other names Walgreens #05919; Walgreens #05919
NPI enumeratedJuly 29, 2006
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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