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

STEPHANIE WALLACE, PHARMD

Active Sole Proprietor

STEPHANIE WALLACE, PHARMD is a Long-Term Care Pharmacy healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1477943223 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · COLORADO SPRINGS, CO

Registration Details

NPI Number
1477943223
Provider Type
Individual
Gender
Female
NPI Issued
Feb 2, 2015 (11.486310280016 yrs)
Last Updated
Oct 5, 2020
Licenses
058853 (NY)
33624 (TN)
0020679 (CO)
0020679 (CO)
Sole Proprietor
Yes

Practice Information

Address
815 CHEYENNE MEADOWS RD
COLORADO SPRINGS, CO, 809064929
Browse CO providers · Browse ZIP 80906
Phone
7195271640
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Providers in COLORADO SPRINGS, CO

Name Credential NPI
EUGENE T BOCKRATH 1942437975
SILA BISHARA 1679243869
DR. ABBEY ANDERSON PHARMD 1568236339
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.