Organization · Type 2 NPI

Walgreen Co

Pharmacy · Goose Creek, SC

NPI number 1922267707 Active

Practice location

1630 Red Bank Rd
Goose Creek, SC 29445-4588

Call (843) 553-7876 Map

Fax (843) 553-3545

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	5010089 (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…

5 other providers at this address

Other pharmacy providers in Goose Creek

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NPI record

NPI: 1922267707
Entity type: Organization (Type 2)
Issued: Jun 5, 2008
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens 11434 · doing business as
Walgreens 11434 · 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 1922267707

Walgreen Co's National Provider Identifier is 1922267707, issued on Jun 5, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Goose Creek, SC. The record was last updated on Oct 14, 2026.