Walgreen Co
Pharmacy in Barboursville, WV. Organization (NPI-2).
NPI number1285964569
StatusActive
Last updated in NPPESSep 5, 2026
Details
- NPI
- 1285964569
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jan 8, 2010
- Certification date
- Sep 5, 2026
- Last updated
- Sep 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | MP0552388 | WV | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #11977 (Doing Business As)
Practice location
6414 Us Route 60 EBarboursville, WV 25504-1240
Phone 304-736-0528 · Fax 304-736-0960
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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