Walgreen Co.
Clinical Medical Laboratory in Metropolis, IL. Organization (NPI-2).
NPI number1760120109
StatusActive
Last updated in NPPESMay 25, 2022
Details
- NPI
- 1760120109
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co.
- Organization subpart
- Yes
- Enumeration date
- May 25, 2022
- Certification date
- May 25, 2022
- Last updated
- May 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Walgreens #12504 (Doing Business As)
Practice location
110 W 10th StMetropolis, IL 62960-1502
Phone 618-524-4819 · Fax 618-524-8959
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
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.