Renee Wallace, PHARMD

NPI #1376899716 in Kirkwood, Missouri

Provider Information

NPI Number: 1376899716
Entity Type: Individual
Name: Renee Wallace, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 2, 2012
Last Updated: Aug 2, 2012

Practice Location

Address: 1046 S KIRKWOOD RD
Address 2: T-1279
City: Kirkwood
State: Missouri
ZIP Code: 63122-7200
Phone: (314) 822-4051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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