Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYCE ALEXANDER WALLACE, PHARMD
ActiveDR. BRYCE ALEXANDER WALLACE, PHARMD is a Pharmacist healthcare provider located in PORTAGEVILLE, Missouri. NPI 1316722259 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PORTAGEVILLE, MO
Registration Details
- NPI Number
- 1316722259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2023 (2.9526121724027 yrs)
- Last Updated
- Aug 29, 2023
- License
-
2021038939 (MO)
Practice Information
- Address
-
222 E MAIN STPORTAGEVILLE, MO, 638731614Browse MO providers · Browse ZIP 63873
- Phone
- 5733795460
- Fax
- 5733795459
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PORTAGEVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD D RONE III | PHARM D | 1609801349 |
| AUDREY H SHELLY | PHARMD | 1669161196 |
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.