# WALL DRUGS OF FLORENCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE MART, Wall Drugs of Florence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861545113
- **Authorized official:** DERRICK ALLAN WALL (OWNER)
- **Authorized official phone:** (843) 386-6135

## Contact information

- **Practice address:** 1337 S IRBY ST STE A, FLORENCE, SC 29505-2784
- **Practice address phone:** (843) 667-0759
- **Practice address fax:** (843) 667-0506
- **Mailing address:** 1337 S IRBY ST STE A, FLORENCE, SC 29505-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 50007436 | SC | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 03/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4213586 | OTHER ID NUMBER | — |
| 05 | — | 774367 | — | SC |