NPI 1013635457

Walgreen Co.

Organisation Clinical Medical Laboratory Bridgeport, WV

Practice location

Address: 1240 W Main St, Bridgeport, WV 26330-1657
Phone: (304) 842-0647
Mailing address: 1901 E Voorhees St # Ms 790, Danville, IL 61834-4509

Authorised official

Name: Kira L Taylor
Title: Manager
Phone: (217) 709-2351

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1013635457
Entity type: Organization
NPI issued: 22 Aug 2022
Record last updated: 22 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.