Organization · Type 2 NPI

Walgreen Co

Community/Retail Pharmacy · Georgetown, SC

NPI number 1356377402 Active

Practice location

1098 N Fraser St
Georgetown, SC 29440-2849

Call (843) 545-1732 Map

Fax (843) 545-1765

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
Community/Retail Pharmacy Primary	3336C0003X	50008832 (SC)
Community/Retail Pharmacy	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Georgetown

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NPI record

NPI: 1356377402
Entity type: Organization (Type 2)
Issued: Jun 23, 2006
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #09834 · doing business as
Walgreens #09834 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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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 1356377402

Walgreen Co's National Provider Identifier is 1356377402, issued on Jun 23, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Georgetown, SC. The record was last updated on Oct 14, 2026.