Wall Drugs of Johnsonville, Inc.
NPI #1245321363 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1245321363
- Entity Type
- Organization
- Organization Name
- Wall Drugs of Johnsonville, Inc.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Feb 12, 2021
Practice Location
- Address
- 239 STUCKEY STREET
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555
- Phone
- (843) 386-6135
Authorized Official
- Name
- MR. DERRICK ALLAN WALL, RPH
- Title
- OWNER RPH
- Phone
- (843) 386-6135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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