Individual provider · Type 1 NPI

Micah Jordan Wallace, PharmD

Pharmacist · Charleston, SC

NPI number 1003241571 Active

Practice location

2152 Savannah Hwy
Charleston, SC 29414-5311

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14060 (SC)
Pharmacist 183500000X36630 (TN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003241571

Micah Jordan Wallace, PharmD's National Provider Identifier is 1003241571, issued on Sep 3, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Charleston, SC. The record was last updated on Sep 3, 2013.