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

AUDREY C WALLACE, RPH

Active Sole Proprietor

AUDREY C WALLACE, RPH is a Pharmacist healthcare provider located in NEW PALESTINE, Indiana. NPI 1295339430 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · NEW PALESTINE, IN

Registration Details

NPI Number
1295339430
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2020 (5.700561806264 yrs)
Last Updated
Nov 29, 2020
Licenses
03440267 (OH)
26029026A (IN)
Sole Proprietor
Yes

Practice Information

Address
5026 W US HIGHWAY 52
NEW PALESTINE, IN, 461639770
Browse IN providers · Browse ZIP 46163
Phone
3178614838
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in NEW PALESTINE, IN

Name Credential NPI
ROBERT PHILIP ROMANO R.PH. 1851657217
FRANK HENRY PERKINS III PHARMD 1891348868
JENSEN SARAE KORNOKOVICH PHARMD 1083219869
DR. JASON FOX RPHA 1588519250
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.