Wallace Pharmacy Inc in Aberdeen - Pharmacy

Wallace Pharmacy Inc - NPI 1710038716

Wallace Pharmacy Inc is a Pharmacy in Aberdeen, Idaho. Wallace Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Wallace Pharmacy Inc is 1710038716. The last update date is 2017-03-10.

Wallace Pharmacy Inc's current location address is 44 S Main, Aberdeen, Idaho. You can contact this provider via phone number 2083974540 and fax number 2083975215. The mailing address for Wallace Pharmacy Inc is 44 S Main, Aberdeen, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wallace Pharmacy Inc
Address 44 S Main, Aberdeen, Idaho
Phone Number 2083974540
Fax Number 2083975215
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO/PIC
Authorized Official Name Wallace Dwight
Credentials PHARMD
Telephone Number 2083974540

NPI Number Detail

NPI Number 1710038716
Provider Enumeration Date 2007-01-16
Last Updated Date 2017-03-10

Provider Mailing Address Detail

Address 44 S Main
City Aberdeen
State Idaho (ID)
Post Code 832100841
Phone Number 2083974540
Fax Number 2083975215

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2349700 ID --
2019739 PK

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FAQs about Wallace Pharmacy Inc

What is the unique 10-digit identification code assigned to Wallace Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Wallace Pharmacy Inc has been issued the NPI (National Provider Identifier) 1710038716, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Wallace Pharmacy Inc's facilities are situated?

The facilities of Wallace Pharmacy Inc are physically located at the following address: 44 S Main, Aberdeen, ID, 832100841.

What is Wallace Pharmacy Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wallace Pharmacy Inc is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710038716 to Wallace Pharmacy Inc?

The Centers for Medicare & Medicaid Services assigned the 1710038716 to Wallace Pharmacy Inc on 2007-01-16.

When was the information related to Wallace Pharmacy Inc most recently updated or refreshed?

The details pertaining to the Wallace Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-10.

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