Organization
WALL DRUGS OF FLORENCE, INC.
Active
Other names
MEDICINE MART, Wall Drugs of Florence
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK ALLAN WALL (OWNER)
(843) 386-6135
Entity
Organization
Contact information
Practice address
1337 S IRBY ST STE A, FLORENCE, SC 29505-2784
(843) 667-0759
(843) 667-0506
Mailing address
1337 S IRBY ST STE A, FLORENCE, SC 29505-2784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50007436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4213586
OTHER ID NUMBER
—
05
—
774367
—
SC
Enumeration date
01/19/2007
Last updated
03/05/2026
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