Dr Micah Jordan Wallace, PHARMD - Pharmacist in Charleston, SC

Dr Micah Jordan Wallace, PHARMD is a Pharmacist based in Charleston, South Carolina. Dr Micah Jordan Wallace is licensed to practice in South Carolina (license number 14060) and his current practice location is 2152 Savannah Hwy, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 556-8974.

NPI number for Dr Micah Jordan Wallace is 1003241571 and his current mailing address is 2152 Savannah Hwy, Charleston, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003241571.

Contact Information

Dr Micah Jordan Wallace, PHARMD
2152 Savannah Hwy,
Charleston, SC 29414-5311
(843) 556-8974
Not Available

Healthcare Provider's Profile

Full NameDr Micah Jordan Wallace
GenderMale
SpecialityPharmacist
Location2152 Savannah Hwy, Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003241571
  • Provider Enumeration Date: 09/03/2013
  • Last Update Date: 09/03/2013

Medical Identifiers

Medical identifiers for Dr Micah Jordan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003241571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 14060 (South Carolina)Primary
183500000XPharmacist 36630 (Tennessee)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Micah Jordan Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Micah Jordan Wallace, PHARMD
2152 Savannah Hwy,
Charleston, SC 29414-5311

Ph: (843) 556-8974
Dr Micah Jordan Wallace, PHARMD
2152 Savannah Hwy,
Charleston, SC 29414-5311

Ph: (843) 556-8974

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› Verified 2 days ago


Pharmacist in Charleston, SC

Brianne Nicole Shokri, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 135 Rutledge Ave, Charleston, SC 29425
Phone: 843-876-0253    
Michael Holt, R. PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Old Towne Rd, Rite Aid Pharmacy, Charleston, SC 29407
Phone: 843-766-5593    Fax: 843-766-9787
Dr. Patrick S Cogan, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-577-5011    
Dr. Samantha Kaye Pande, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1195 Remount Rd, Charleston, SC 29406
Phone: 843-744-8896    
Katlyn Johnson,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sam Rittenberg Blvd, Charleston, SC 29407
Phone: 843-573-4776    
Dr. Erica Hanesworth, PHARM. D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 109 Bee St # 119, Charleston, SC 29401
Phone: 843-789-6473    Fax: 843-805-5798

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