Duane Wallace, RPH

NPI #1679730378 in Perham, Minnesota

Provider Information

NPI Number
1679730378
Entity Type
Individual
Name
Duane Wallace, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
May 20, 2008
Last Updated
May 20, 2008

Practice Location

Address
665 3RD ST SW
City
Perham
ZIP Code
56573-1137
Phone
(218) 346-1169

Specialties & Taxonomy Codes

Specialty
Pharmacist

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