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 1780699876

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

4515 Camp Bowie Blvd
Fort Worth, TX 76107-3836
Phone: (817) 735-8185
Fax: (817) 735-8130
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 24451 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1780699876
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #09763; Walgreens #09763
NPI enumeratedJuly 29, 2006
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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