Kennis Hal Wallace in Harrisburg - Pharmacist
Kennis Hal Wallace - NPI 1811981939
Kennis Hal Wallace is a Pharmacist in Harrisburg, Illinois. Kennis Hal Wallace practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kennis Hal Wallace is 1811981939. The last update date is 2007-07-08.
Kennis Hal Wallace's current location address is 303 S Commercial St, Harrisburg, Illinois. You can contact this provider via phone number 6182537621 and fax number 6182527455. The mailing address for Kennis Hal Wallace is 303 S Commercial St, Harrisburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kennis Hal Wallace |
|---|---|
| Address | 303 S Commercial St, Harrisburg, Illinois |
| Phone Number | 6182537621 |
| Fax Number | 6182527455 |
| Sole Proprietor | X |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1811981939 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 303 S Commercial St |
|---|---|
| City | Harrisburg |
| State | Illinois (IL) |
| Post Code | 629462125 |
| Phone Number | 6182537621 |
| Fax Number | 6182527455 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370921467001 | IL | -- |
Post Comment/ Review Below
What is the Kennis Hal Wallace's unique identification number?
The Kennis Hal Wallace has been assigned the NPI (National Provider Identifier) Number 1811981939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kennis Hal Wallace's facilities are situated?
The facilities of Kennis Hal Wallace are physically located at the following address: 303 S Commercial St, Harrisburg, IL, 629462125.
What is the Kennis Hal Wallace's specialty and taxonomy code?
The Kennis Hal Wallace's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
When did the Kennis Hal Wallace receive its 1811981939?
The Kennis Hal Wallace was issued its 1811981939 on 2005-09-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Kennis Hal Wallace most recently updated or refreshed?
The details pertaining to the Kennis Hal Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.