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 1407594849

Walgreen Co is a Clinical Medical Laboratory in Maryville, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6607 State Route 162
Maryville, IL 62062-8514
Phone: (618) 288-2130
Fax: (618) 288-2136
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1407594849
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Kira Taylor — Manager · (217) 709-2351
Other names Walgreens #12395
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address1901 E Voorhees St # Ms 790, Danville, IL 61834-4509