Wallace Pharmacy INC
NPI #1710038716 in Aberdeen, Idaho
Provider Information
- NPI Number
- 1710038716
- Entity Type
- Organization
- Organization Name
- Wallace Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Mar 10, 2017
Practice Location
Authorized Official
- Name
- DWIGHT WALLACE, PHARMD
- Title
- CEO/PIC
- Phone
- (208) 397-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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