Individual provider · Type 1 NPI
Derrick Allan Wall, RPH
Pharmacist · Johnsonville, SC
Practice location
239 Stuckey St
Johnsonville, SC 29555
Fax (843) 380-1025
Mailing address
PO Box 947
Johnsonville, SC 29555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 9429 (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…
Another provider at this address
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About NPI 1124119342
Derrick Allan Wall, RPH's National Provider Identifier is 1124119342, issued on Sep 27, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Johnsonville, SC. The record was last updated on Sep 21, 2016.