| Dr Micah Jordan Wallace, PHARMD | |
|
2152 Savannah Hwy, Charleston, SC 29414-5311 | |
| (843) 556-8974 | |
| Not Available |
| Full Name | Dr Micah Jordan Wallace |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 2152 Savannah Hwy, Charleston, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003241571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 14060 (South Carolina) | Primary |
| 183500000X | Pharmacist | 36630 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Micah Jordan Wallace, PHARMD 2152 Savannah Hwy, Charleston, SC 29414-5311 Ph: (843) 556-8974 | Dr Micah Jordan Wallace, PHARMD 2152 Savannah Hwy, Charleston, SC 29414-5311 Ph: (843) 556-8974 |
Brianne Nicole Shokri, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-876-0253 | |
Michael Holt, R. PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1115 Old Towne Rd, Rite Aid Pharmacy, Charleston, SC 29407 Phone: 843-766-5593 Fax: 843-766-9787 | |
Dr. Patrick S Cogan, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Dr. Samantha Kaye Pande, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1195 Remount Rd, Charleston, SC 29406 Phone: 843-744-8896 | |
Katlyn Johnson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1200 Sam Rittenberg Blvd, Charleston, SC 29407 Phone: 843-573-4776 | |
Dr. Erica Hanesworth, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St # 119, Charleston, SC 29401 Phone: 843-789-6473 Fax: 843-805-5798 |