OrganizationActive
Walgreens Pharmacy
NPI 1578846036 · Clinical Medical Laboratory · College Park, GA
Provider details
- NPI number
- 1578846036
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Latisia Brooks, Pharmacist(678) 536-4050
- License
- 8 (GA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6120 Old National Hwy
College Park, GA 30349-4367
Phone: (678) 536-4050
Street-level locationGet directions
Mailing address
6120 Old National Hwy
College Park, GA 30349-4367
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.