Deltha L Wallace, RPH

NPI #1093810079 in Essexville, Michigan

Provider Information

NPI Number: 1093810079
Entity Type: Individual
Name: Deltha L Wallace, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1454 W CENTER RD
City: Essexville
State: Michigan
ZIP Code: 48732-2112
Phone: (989) 895-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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