Walgreen Co.
Clinical Medical Laboratory in Spring Grove, IL. Organization (NPI-2).
NPI number1144968751
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1144968751
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co.
- Organization subpart
- Yes
- Enumeration date
- May 24, 2022
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Walgreens #7769 (Doing Business As)
Practice location
7880 Winn RdSpring Grove, IL 60081-9687
Phone 815-675-2408 · Fax 815-675-9067
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira L Taylor
Manager
2177092351
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