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

Dr. Micah Jordan Wallace, PHARMD

Individual provider Pharmacist · NPI 1003241571

Dr. Micah Jordan Wallace, PHARMD is a Pharmacist in Charleston, South Carolina. Licensed in South Carolina and Tennessee. Registered with an NPI since 2013.

Licensed in
SC, TN
In the registry since
2013
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

2152 Savannah Hwy
Charleston, SC 29414-5311
Phone: (843) 556-8974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14060 (SC)
Pharmacist Taxonomy 183500000X · Licence 36630 (TN)

Record details

NPI number1003241571
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 3, 2013

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