William Lee Wallace

NPI #1528670361 in Malvern, Arkansas

Provider Information

NPI Number
1528670361
Entity Type
Individual
Name
William Lee Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 22, 2020
Last Updated
Aug 22, 2020

Practice Location

Address
308 S MAIN ST
ZIP Code
72104-3737
Phone
(501) 467-8197

Specialties & Taxonomy Codes

Specialty
Pharmacist

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