Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAH JORDAN WALLACE, PHARM.D.
ActiveDR. MICAH JORDAN WALLACE, PHARM.D. is a Pharmacist healthcare provider located in CHARLESTON, South Carolina. NPI 1003241571 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CHARLESTON, SC
Registration Details
- NPI Number
- 1003241571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2013 (12.92597505674 yrs)
- Last Updated
- Sep 3, 2013
- Licenses
-
14060 (SC)36630 (TN)
Practice Information
- Address
-
2152 SAVANNAH HWYCHARLESTON, SC, 294145311Browse SC providers · Browse ZIP 29414
- Phone
- 8435568974
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| MR. LEONARD MEL RAUTON JR. | R.PH. | 1871596312 |
| DR. DAVID WILLIAM SHIRLEY | PHARMD | 1871595199 |
| DR. SOPHIE R SORENSON | PHARM.D. | 1801893912 |
| DR. ANDREA WESSELL | PHARMD | 1215939681 |
| ELIZABETH ELLEN ASHCRAFT | — | 1043204209 |
| DR. KRISTY LYNN BRITTAIN | PHARMD, BCPS | 1548257215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.