Individual provider · Type 1 NPI

Brantley Wallace, PharmD

Pharmacist · Florence, SC

NPI number 1629461298 Active

Practice location

600 E Palmetto St
Florence, SC 29506-2851

Call (843) 656-0390 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14353 (SC)
Pharmacist 183500000X23771 (NC)

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 1629461298

Brantley Wallace, PharmD's National Provider Identifier is 1629461298, issued on Mar 6, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Florence, SC. The record was last updated on Mar 6, 2015.