Organization · Type 2 NPI

Walgreen Co

Pharmacy · Myrtle Beach, SC

NPI number 1013264670 Active

Practice location

1110 Dick Pond Rd
Myrtle Beach, SC 29575-5503

Call (843) 232-0091 Map

Fax (843) 232-0097

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	14284 (SC)
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…

Another provider at this address

Shannon HendersonPharmacist Myrtle Beach, SC NPI 1871278861

Other pharmacy providers in Myrtle Beach

See all in Myrtle Beach →

NPI record

NPI: 1013264670
Entity type: Organization (Type 2)
Issued: Aug 13, 2012
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #13995 · doing business as
Walgreens #13995 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013264670

Walgreen Co's National Provider Identifier is 1013264670, issued on Aug 13, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 14, 2026.