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 1396971933

Walgreen Co is a Clinical Medical Laboratory in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
4

Practice location Address checks out

1302 N Virginia St
Port Lavaca, TX 77979-2509
Phone: (361) 552-7451
Fax: (361) 552-7594
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 26453 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1396971933
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #12494; Walgreens #12494
NPI enumeratedJune 10, 2009
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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