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Organization

DRUG EMPORIUM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY LEONARD (DIRECTOR OF PHARMACY SERVICES)
(304) 345-4836
Entity
Organization

Contact information

Practice address
120 BECKLEY CROSSING CTR, BECKLEY, WV 25801
(304) 255-6900
(304) 255-6909
Mailing address
120 BECKLEY CROSSING CTR, BECKLEY, WV 25801

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
MP0551258
WV
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141401000
WV
01
5010830
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/21/2006
Last updated
09/11/2025
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  • Eligibility checks
  • EDI platform