Healthcare Provider Details

I. General information

NPI: 1831009257
Provider Name (Legal Business Name): MACKENZIE FLYNN WHITE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 N KINGS HWY
MYRTLE BEACH SC
29572-3053
US

IV. Provider business mailing address

315 LAKESIDE DR UNIT B
SURFSIDE BEACH SC
29575-3588
US

V. Phone/Fax

Practice location:
  • Phone: 843-497-9995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67974
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: