OrganizationActive
Health and Wellness Pharmacy LLC
NPI 1639977291 · Long Term Care Pharmacy · Myrtle Beach, SC
Provider details
- NPI number
- 1639977291
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Janet Ibrahim, Pharmacist in Charge(843) 742-5243
Specialties & taxonomies
Suppliers
Practice location
5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836
Phone: (843) 215-8200
Approximate (ZIP-level) locationGet directions
Mailing address
5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.