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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANTLEY WALLACE, PHARMD

Active Sole Proprietor

DR. BRANTLEY WALLACE, PHARMD is a Pharmacist healthcare provider located in FLORENCE, South Carolina. NPI 1629461298 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FLORENCE, SC

Registration Details

NPI Number
1629461298
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2015 (11.462195055241 yrs)
Last Updated
Mar 6, 2015
Licenses
14353 (SC)
23771 (NC)
Sole Proprietor
Yes

Practice Information

Address
600 E PALMETTO ST
FLORENCE, SC, 295062851
Browse SC providers · Browse ZIP 29506
Phone
8436560390
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in FLORENCE, SC

Name Credential NPI
ROBERT T MOSS JR. PHARMACIST 1538251558
DR. ERIC S. TERRELL PHARM.D. 1558453274
MR. MICHAEL LEWIS PORTER RPH 1588747695
DR. APRIL MCGEE SMITH PHARMD 1487799359
MR. WILLIAM B DUNCAN RPH 1609905165
JAY EDDIE TERRY PHARM-D 1215066220
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.