Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fairmont, WV

NPI number 1417473000 Active

Practice location

627 Fairmont Ave
Fairmont, WV 26554-5103

Call (304) 366-4526 Map

Fax (304) 366-4508

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None 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…

8 other providers at this address

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About NPI 1417473000

Walgreen Co's National Provider Identifier is 1417473000, issued on Aug 16, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fairmont, WV. The record was last updated on Sep 5, 2026.