NPIMap

Walgreen Co.

Organization Active NPI Clinical Medical Laboratory · Glendale, CO

NPI 1609595214 · NPPES record last updated Aug 25, 2022

Key facts

NPI
1609595214
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
WALGREEN CO.
Practice address
360 S Colorado Blvd
Glendale, CO 80246-1205
Phone
(720) 258-8203
NPI assigned
Aug 25, 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

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2225720Walgreens #12366
360 S Colorado Blvd, Glendale, CO 80246		Certificate of waiverMay 23, 2027

National Provider Directory

Tax ID family
Walgreen Co (8,684 organizations share this tax ID)
Part of
Walgreens Holding Company

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

360 S Colorado Blvd
Glendale, CO 80246-1205

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351

Other names

  • WALGREENS #12366 Doing business as

Other providers in Glendale, CO

All providers in Glendale, CO · Clinical Medical Laboratory in Colorado

Sources for this page

Verify at the official NPI Registry.