Organization · Type 2 NPI

Walgreen Co

Pharmacy · Port Lavaca, TX

NPI number 1396971933 Active

Practice location

1302 N Virginia St
Port Lavaca, TX 77979-2509

Fax (361) 552-7594

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X26453 (TX)
Community/Retail Pharmacy 3336C0003XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

5 other providers at this address

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About NPI 1396971933

Walgreen Co's National Provider Identifier is 1396971933, issued on Jun 10, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Port Lavaca, TX. The record was last updated on Feb 10, 2026.