Wallace Pharmacy Inc in Aberdeen - Community/retail Pharmacy
Wallace Pharmacy Inc - NPI 1710038716
Wallace Pharmacy Inc is a Community/retail Pharmacy in Aberdeen, Idaho. Wallace Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail 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 |
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Address | 44 S Main, Aberdeen, Idaho |
Phone Number | 2083974540 |
Fax Number | 2083975215 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO/PIC |
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Authorized Official Name | Wallace Dwight |
Credentials | PHARMD |
Telephone Number | 2083974540 |
NPI Number Detail
NPI Number | 1710038716 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2017-03-10 |
Provider Mailing Address Detail
Address | 44 S Main |
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City | Aberdeen |
State | Idaho (ID) |
Post Code | 832100841 |
Phone Number | 2083974540 |
Fax Number | 2083975215 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 1129RP |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2349700 | ID | -- | |
2019739 | PK |
Post Comment/ Review Below
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 Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
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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