Dwight D. Wallace, PHARMD
NPI #1104245620 in Aberdeen, Idaho
Provider Information
- NPI Number
- 1104245620
- Entity Type
- Individual
- Name
- Dwight D. Wallace, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Apr 11, 2014
- Last Updated
- Apr 11, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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