Mr Derrick Allan Wall, RPH - Pharmacist in Johnsonville, SC

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Mr Derrick Allan Wall, RPH is a Pharmacist based in Johnsonville, South Carolina. Mr Derrick Allan Wall is licensed to practice in South Carolina (license number 9429) and his current practice location is 239 Stuckey St, Johnsonville, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 386-6135.

NPI number for Mr Derrick Allan Wall is 1124119342 and his current mailing address is Po Box 947, Johnsonville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124119342.

Contact Information

Mr Derrick Allan Wall, RPH
239 Stuckey St,
Johnsonville, SC 29555
(843) 386-6135
(843) 380-1025

Map and Direction


Healthcare Provider's Profile

Full NameMr Derrick Allan Wall
GenderMale
SpecialityPharmacist
Location239 Stuckey St, Johnsonville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124119342
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 09/21/2016

Medical Identifiers

Medical identifiers for Mr Derrick Allan Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124119342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 9429 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Derrick Allan Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Derrick Allan Wall, RPH
Po Box 947,
Johnsonville, SC 29555

Ph: (843) 933-0080		Mr Derrick Allan Wall, RPH
239 Stuckey St,
Johnsonville, SC 29555

Ph: (843) 386-6135

Reviews and Comments


Pharmacist in Johnsonville, SC

Dr. April E Newell, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 239 Stuckey St, Johnsonville, SC 29555
Phone: 843-386-6135    
Dawn Mcelveen Munn, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 123 E Broadway St, Johnsonville, SC 29555
Phone: 843-438-0178    Fax: 843-438-0179
Dr. Chandace B Tanner, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 538 Myrtle Wood Ln, Johnsonville, SC 29555
Phone: 843-386-9080    

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