MR. Derrick Allan Wall, RPH
NPI #1124119342 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1124119342
- Entity Type
- Individual
- Name
- MR. Derrick Allan Wall, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Sep 21, 2016
Practice Location
- Address
- 239 STUCKEY ST
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555
- Phone
- (843) 386-6135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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