Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brantley Wallace, PHARMD

Individual provider Pharmacist · NPI 1629461298

Dr. Brantley Wallace, PHARMD is a Pharmacist in Florence, South Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

600 E Palmetto St
Florence, SC 29506-2851
Phone: (843) 656-0390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14353 (SC)
Pharmacist Taxonomy 183500000X · Licence 23771 (NC)

Record details

NPI number1629461298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMarch 6, 2015
Last updated in NPPESMarch 6, 2015
Mailing address600 E Palmetto St, Florence, SC 29506-2851

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