MR. Keith W Wallace, RPH
NPI #1932483203 in Millville, New Jersey
Provider Information
- NPI Number
- 1932483203
- Entity Type
- Individual
- Name
- MR. Keith W Wallace, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Pharmacotherapy
- Credential
- RPH
- Enumeration Date
- Oct 5, 2011
- Last Updated
- Oct 5, 2011
Practice Location
- Address
- 1111 N HIGH ST
- City
- Millville
- State
- New Jersey
- ZIP Code
- 08332-2528
- Phone
- (856) 293-9717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacotherapy — Pharmacotherapy |
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