Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1619214277

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Gate City, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
Specialties on file
3

Practice location Address checks out

119 E Jackson St Ste 101
Gate City, VA 24251-3418
Phone: (276) 386-3821
Fax: (276) 386-7582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 020100069 (VA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1619214277
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Jennifer Ponce — Manager · (847) 527-2489
Other names Broadwater Drug #15669, Powered By Walgreens; Broadwater Drug #15669, Powered By Walgreens
NPI enumeratedJanuary 15, 2013
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4515

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