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 1902811912

Walgreen Co is a Clinical Medical Laboratory in San Antonio, 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

3401 San Pedro Ave
San Antonio, TX 78212-2252
Phone: (210) 738-2414
Fax: (210) 738-2419
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 13239 (TX)
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1902811912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Walgreens #05964; Walgreens #05964
NPI enumeratedJuly 29, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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