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 1184631194

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

Licensed in
TX
In the registry since
2006
Specialties on file
4

Practice location Address checks out

3425 Sycamore School Rd
Fort Worth, TX 76123-3030
Phone: (817) 370-0505
Fax: (817) 370-2219
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 17057 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1184631194
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #03878; Walgreens #03878
NPI enumeratedAugust 2, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address1901 E Voorhees St # Ms 790, Danville, IL 61834-4515

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