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 1235386541

Walgreen Co is a Clinical Medical Laboratory in Berea, 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

220 Richmond Rd N
Berea, KY 40403-1319
Phone: (859) 986-1494
Fax: (859) 986-1478
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence P07305 (KY)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1235386541
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Holding Company
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #11796; Walgreens #11796
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