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DR. BRANTLEY WALLACE PHARMD NPI 1629461298


NPI Information

NPI: 1629461298
Provider Name: DR. BRANTLEY WALLACE, PHARMD
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
600 E PALMETTO ST
FLORENCE, SC
ZIP 29506
Phone: (843) 656-0390
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DR. Brantley Wallace, PHARMD is a pharmacist in Florence, SC. The provider is 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DR. Brantley Wallace, PHARMD NPI is 1629461298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 E PALMETTO ST
FLORENCE, SC
ZIP 29506-851
Phone: (843) 656-0390

The enumeration date for this NPI number is 3/6/2015 and was last updated on 3/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist23771NORTH CAROLINANo
2183500000XPharmacist14353SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.