Walgreen Co.
Organization Active NPI Clinical Medical Laboratory · Rainelle, WV
NPI 1124746490 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1124746490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- WALGREEN CO.
- Practice address
- 1250 Kanawha Ave
Rainelle, WV 25962-7120 - Phone
- (304) 438-9204
- NPI assigned
- Aug 22, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- WALGREENS BOOTS ALLIANCE INC
Authorized official
- Name
- Kira L Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1250 Kanawha Ave
Rainelle, WV 25962-7120
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351
Other names
- Walgreens #18404
Other providers in Rainelle, WV
- Kimberly Sue Thomson
- Madison Aryn Valladares
- Rosale Laura Vandall
- Gary G Veronneau
- Walgreen Co
- Kendra Leigh Wamsley
- Sarah A Ward
- Western Greenbrier Internal Medicine PLLC
- Malissa Michelle Williams
- Rhonda Witt
All providers in Rainelle, WV · Clinical Medical Laboratory in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.