DR. Bryce Alexander Wallace, PHARMD
NPI #1316722259 in Portageville, Missouri
Provider Information
- NPI Number
- 1316722259
- Entity Type
- Individual
- Name
- DR. Bryce Alexander Wallace, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 222 E MAIN ST
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-1614
- Phone
- (573) 379-5460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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