Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRAVIS WALLACE, PHARMD
Active Sole ProprietorDR. TRAVIS WALLACE, PHARMD is a Pharmacist healthcare provider located in FUQUAY VARINA, North Carolina. NPI 1437402153 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FUQUAY VARINA, NC
Registration Details
- NPI Number
- 1437402153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2012 (13.822427760694 yrs)
- Last Updated
- Oct 18, 2012
- License
-
20468 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1526 BROAD STFUQUAY VARINA, NC, 275268363Browse NC providers · Browse ZIP 27526
- Phone
- 9195521126
- Fax
- 9195526017
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in FUQUAY VARINA, NC
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT SHANNON RAWLS | PHARM D | 1467507426 |
| MRS. MYRA COX GREENE | RPH | 1184850216 |
| DR. ANGELA COLEMAN MUMFORD | PHARMD | 1023245172 |
| LOUIS TODD KERMON JR. | — | 1861622102 |
| DR. EMILY BEATTY | PHARMD | 1942535166 |
| DR. WILLIAM T WALKER JR. | RPH | 1396072633 |
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.