Wall Drugs of Johnsonville
NPI #1629274063 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1629274063
- Entity Type
- Organization
- Organization Name
- Wall Drugs of Johnsonville
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 239 EAST STUCKEY STREET
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555-0545
- Phone
- (843) 380-1066
Authorized Official
- Name
- MR. ALLAN DERRICK WALL
- Title
- PHARMACISTS
- Phone
- (843) 386-6135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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| Provider Name | |
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| Wall Drugs of Johnsonville, Inc. | |
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