Richard Paul Wallace, PHARMD

NPI #1154678332 in Usaf Academy, Colorado

Provider Information

NPI Number: 1154678332
Entity Type: Individual
Name: Richard Paul Wallace, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 7, 2012
Last Updated: May 20, 2025

Practice Location

Address: 4102 PINION DR
City: Usaf Academy
State: Colorado
ZIP Code: 80840-2502
Phone: (401) 741-6547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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