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Micah Wallace, PHARM.D
NPI 1003241571 · on the registry since 2013
Practice
- Address
- 2152 Savannah Hwy
Charleston, SC 29414 - Phone
- (843) 556-8974
- Organisation at this address
- South Carolina Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Also registered as
- Pharmacist
- Licence states on file
- SC, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina