Duane Wallace RPH

NPI 1679730378 - Pharmacist - 183500000X

NPI Details
NPI 1679730378
Gender Male
Enumeration Date 05/20/2008
Last Updated 05/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
665 3RD ST SW
PERHAM MN, 56573-1137, US
Phone (218) 346-1169
Fax (218) 346-1279
Business Location
665 3RD ST SW
PERHAM MN, 56573-1137, US
Phone (218) 346-1169
Fax (218) 346-1279
Toxanomy
Taxonomy Code 183500000X
License State Minnesota
License Number 114023
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According to our database, Duane Wallace RPH NPI is 1679730378, taxonomy code is 183500000X and license number is 114023, license state is located at Minnesota. Duane Wallace RPH physically located at 665 3rd St Sw, Perham MN, 56573-1137. NPI Number Duane Wallace RPH has the Individual type.

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1679730378 NPI number is provided on an as is basis without warranty of any kind. 1679730378 is maintained by the National Plan & Provider Enumeration System. The contents of Duane Wallace RPH are for informational purposes only.