Derrick Allan Wall in Johnsonville - Pharmacist
Derrick Allan Wall - NPI 1124119342
Derrick Allan Wall is a Pharmacist in Johnsonville, South Carolina. Derrick Allan Wall practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Derrick Allan Wall is 1124119342. The last update date is 2016-09-21.
Derrick Allan Wall's current location address is Po Box 947, Johnsonville, South Carolina. You can contact this provider via phone number 8439330080. The mailing address for Derrick Allan Wall is Po Box 947, Johnsonville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Allan Wall |
|---|---|
| Address | Po Box 947, Johnsonville, South Carolina |
| Phone Number | 8439330080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1124119342 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
| Address | Po Box 947 |
|---|---|
| City | Johnsonville |
| State | South Carolina (SC) |
| Post Code | 29555 |
| Phone Number | 8439330080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9429 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Derrick Allan Wall's unique identification number?
The Derrick Allan Wall has been assigned the NPI (National Provider Identifier) Number 1124119342 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Derrick Allan Wall?
The Derrick Allan Wall is situated at Po Box 947, in the city of Johnsonville, state of SC, with the zip code 29555.
What is the area of specialization for Derrick Allan Wall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Derrick Allan Wall is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Derrick Allan Wall receive its 1124119342 assignment from the Centers for Medicare & Medicaid Services?
The Derrick Allan Wall was assigned its 1124119342 by the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the Derrick Allan Wall's details last updated?
The information pertaining to the Derrick Allan Wall, including its address, specialty, and other details, was most recently updated on 2016-09-21.