Scott Eric Wallace PHARMD

NPI 1134414220 - Pharmacist - 183500000X

NPI Details
NPI 1134414220
Gender Male
Enumeration Date 06/16/2011
Last Updated 06/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1214 N MARKET BLVD
SUITE C
SACRAMENTO CA, 95834-2931, US
Phone (800) 655-3247
Fax
Business Location
1214 N MARKET BLVD
SUITE C
SACRAMENTO CA, 95834-2931, US
Phone (800) 655-3247
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number RPH51748
Remove 1134414220 NPI Number
 

According to our database, Dr. Scott Eric Wallace PHARMD NPI is 1134414220, taxonomy code is 183500000X and license number is RPH51748, license state is located at California. Scott Eric Wallace PHARMD physically located at 1214 N Market Blvd, Sacramento CA, 95834-2931. NPI Number Scott Eric Wallace PHARMD has the Individual type.

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1134414220 NPI number is provided on an as is basis without warranty of any kind. 1134414220 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Eric Wallace PHARMD are for informational purposes only.