DERRICK ALLAN WALL

JOHNSONVILLE, SC
NPI1124119342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  9429)
Enumeration Date2006-09-27
Last Update Date2016-09-21
Business Address
Mr. DERRICK ALLAN WALL RPh
239 STUCKEY ST
JOHNSONVILLE, SC 29555
Phone number: 843-386-6135
Mailing Address
Mr. DERRICK ALLAN WALL RPh
PO BOX 947
JOHNSONVILLE, SC 29555
Phone number: 843-933-0080
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