MR. Jeffrey A. Wallace I, R.PH.
NPI #1568499234 in Brooklyn Heights, Ohio
Provider Information
- NPI Number
- 1568499234
- Entity Type
- Individual
- Name
- MR. Jeffrey A. Wallace I, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5420 LANCASTER DR
- Address 2
- KAISER PERMANENTE PHARMACY ADMINISTRATION
- City
- Brooklyn Heights
- State
- Ohio
- ZIP Code
- 44131-1832
- Phone
- (216) 749-8408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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