MS. Kristin Renee Wallace, PHARM.D.

NPI #1568749026 in Fort Carson, Colorado

Provider Information

NPI Number
1568749026
Entity Type
Individual
Name
MS. Kristin Renee Wallace, PHARM.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Nov 11, 2011
Last Updated
Aug 28, 2025

Practice Location

Address
1650 COCHRANE CIRCLE
Address 2
OUTPATIENT PHARMACY
ZIP Code
80913
Phone
(719) 524-4410

Specialties & Taxonomy Codes

Specialty
Pharmacist

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