Individual provider · Type 1 NPI

Kennede Marissa Wallace, PharmD

Pharmacist · Charleston, SC

NPI number 1033971197 Active

Practice location

51 Nassau St
Charleston, SC 29403-5513

Call (843) 486-2084 Map

Fax (843) 486-2084

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X44219 (SC)

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 1033971197

Kennede Marissa Wallace, PharmD's National Provider Identifier is 1033971197, issued on Jan 24, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Charleston, SC. The record was last updated on Jan 24, 2024.