Brennen Wallace
NPI #1013512318 in Zanesville, Ohio
Provider Information
- NPI Number
- 1013512318
- Entity Type
- Individual
- Name
- Brennen Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 3, 2020
- Last Updated
- Dec 3, 2020
Practice Location
- Address
- 103 N MAYSVILLE AVE
- City
- Zanesville
- State
- Ohio
- ZIP Code
- 43701-6184
- Phone
- (740) 452-7589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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