MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1831615715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS 790
City	:	DANVILLE
State	:	IL
Zip	:	61834-4509
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	5001 SOCASTEE BLVD
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-7339
Country	:	US
Telephone Number	:	843-293-6066
Fax Number	:	843-293-6238

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	05/11/2022

Similar Medicare Providers

1750215885 — NICOLE MORTEL
Practice Location Address:

5001 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7339

Practice Phone: 843-293-6066
Practice Fax:

1477838423 — DAVID JERIC R.PH.
Practice Location Address:

5001 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7339

Practice Phone: 843-293-6066
Practice Fax: 843-293-6238

1003240672 — KATSIARYNA MAROZ PHARMD
Practice Location Address:

5001 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7339

Practice Phone: 843-293-6066
Practice Fax:

1689346355 — DANIELLE FLYNN PHARM D
Practice Location Address:

5001 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7339

Practice Phone: 843-293-6066
Practice Fax:

1932207305 — CAROLINA FOREST CHIROPRACTIC, LLC
Practice Location Address:

568 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
29579-7339

Practice Phone: 843-236-2200
Practice Fax:

1558462887 — DR. RONALD J. PELLICANI D.C.
Practice Location Address:

568 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
29579-7339

Practice Phone: 843-236-2200
Practice Fax:

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.