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 1447335765

Walgreen Co is a Clinical Medical Laboratory in Mount Vernon, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

5100 Lake Ter NE
Mount Vernon, IL 62864-9665
Phone: (618) 244-8793
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1447335765
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Kira Taylor — Manager · (217) 709-2351
Other names Walgreens #5995; Walgreens #5995
NPI enumeratedOctober 26, 2006
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address1901 E Voorhees St, Mailstop #790, Danville, IL 61834-4509