DR. Micah Jordan Wallace, PHARM.D.
NPI #1003241571 in Charleston, South Carolina
Provider Information
- NPI Number
- 1003241571
- Entity Type
- Individual
- Name
- DR. Micah Jordan Wallace, PHARM.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D.
- Enumeration Date
- Sep 3, 2013
- Last Updated
- Sep 3, 2013
Practice Location
- Address
- 2152 SAVANNAH HWY
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29414-5311
- Phone
- (843) 556-8974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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