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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MABLE WU WALLACE

Active Sole Proprietor

MRS. MABLE WU WALLACE is a Pharmacist healthcare provider located in ASHBURN, Virginia. NPI 1144512757 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · ASHBURN, VA

Registration Details

NPI Number
1144512757
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2011 (15.209364980765 yrs)
Last Updated
May 15, 2011
License
0202205009 (VA)
Sole Proprietor
Yes

Practice Information

Address
20070 ASHBROOK COMMONS PLZ
ASHBURN, VA, 201475034
Browse VA providers · Browse ZIP 20147
Phone
5712230517
Fax
5712230542
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in ASHBURN, VA

Name Credential NPI
NAO YOUNG LEE PHARMD 1376742593
DR. JAMIE LEE RIDLEY KLUCKEN PHARMD 1811209489
TERESA DICE PHARM D 1972895563
WOINSHET TAKELE RPH 1013200294
DR. APRIL DAWN ABDOO PHARM.D. 1508151143
MITAL PATEL 1932483518
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.