| Kennede Marissa Wallace, PHARMD | |
|
51 Nassau St, Charleston, SC 29403-5513 | |
| (843) 486-2084 | |
| (843) 486-2084 |
| Full Name | Kennede Marissa Wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 51 Nassau St, Charleston, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033971197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 44219 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kennede Marissa Wallace, PHARMD 51 Nassau St, Charleston, SC 29403-5513 Ph: (843) 486-2084 | Kennede Marissa Wallace, PHARMD 51 Nassau St, Charleston, SC 29403-5513 Ph: (843) 486-2084 |
News Archive
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› Verified 3 days ago
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