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1003241571
MICAH JORDAN WALLACE
CHARLESTON, SC
NPI
1003241571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 14060)
Additional Taxonomies
183500000X Pharmacist
(Licence: TN 36630)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
Dr. MICAH JORDAN WALLACE Pharm.D.
2152 SAVANNAH HWY
CHARLESTON, SC 29414-5311
Phone number: 843-556-8974
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Mailing Address
Dr. MICAH JORDAN WALLACE Pharm.D.
2152 SAVANNAH HWY
CHARLESTON, SC 29414-5311
Phone number: 843-556-8974
Copy
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