Organization
WALL DRUGS OF PAMPLICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK ALLAN WALL (RPH, OWNER)
(843) 386-6135
Entity
Organization
Contact information
Practice address
616 S. WALNUT STREET, PAMPLICO, SC 29583
(843) 933-0080
Mailing address
PO BOX 240, JOHNSONVILLE, SC 29555-0240
(843) 905-0200
(843) 905-0201
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
02/12/2021
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