Paul Wallace
NPI #1518569110 in Warr Acres, Oklahoma
Provider Information
- NPI Number
- 1518569110
- Entity Type
- Individual
- Name
- Paul Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 10, 2020
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 64374 N MACARTHUR BLVD
- City
- Warr Acres
- State
- Oklahoma
- ZIP Code
- 73132
- Phone
- (405) 495-1040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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