DR. Joanna Theresa Wallace, PHARMD

NPI #1093117988 in Middletown, New York

Provider Information

NPI Number: 1093117988
Entity Type: Individual
Name: DR. Joanna Theresa Wallace, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 280 ROUTE 211 E
Address 2: SUITE 112
City: Middletown
State: New York
ZIP Code: 10940-3109
Phone: (845) 341-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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