MS. Kristie L Meacheam Wallace, RPH

NPI #1093098063 in Ozark, Missouri

Provider Information

NPI Number: 1093098063
Entity Type: Individual
Name: MS. Kristie L Meacheam Wallace, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 26, 2011
Last Updated: Dec 22, 2016

Practice Location

Address: 2004 W MARLER LN
City: Ozark
State: Missouri
ZIP Code: 65721-7661
Phone: (417) 581-3288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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