Clarissa Wallace

NPI #1780996314 in West Lake Hills, Texas

Provider Information

NPI Number
1780996314
Entity Type
Individual
Name
Clarissa Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 12, 2010
Last Updated
Jul 12, 2010

Practice Location

Address
3300 BEE CAVE RD STE 500
State
Texas
ZIP Code
78746-6770
Phone
(512) 329-7408

Specialties & Taxonomy Codes

Specialty
Pharmacist

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