Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN GARY WALLACE, PHARMD.
Active Sole ProprietorKEVIN GARY WALLACE, PHARMD. is a Pharmacist healthcare provider located in STATEN ISLAND, New York. NPI 1144576919 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1144576919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2012 (14.050523237485 yrs)
- Last Updated
- Jul 31, 2012
- License
-
057064 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
94 LADD AVESTATEN ISLAND, NY, 103121515Browse NY providers · Browse ZIP 10312
- Phone
- 9172704362
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in STATEN ISLAND, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE SABADOS | RPH | 1477501864 |
| DR. GEORGE EDWARD KREYTAK | PHARM.D, CGP | 1396772133 |
| DR. STUART WINZELBERG | RPH | 1265443329 |
| MR. PAUL LOUIS MATTIOLA | RPH | 1205938990 |
| KHALED H HAMDAN | RPH,MS | 1114021862 |
| MR. WILLIAM GITMAN | RPH | 1720172299 |
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.