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

PAUL WALLACE

Active Sole Proprietor

PAUL WALLACE is a Pharmacist healthcare provider located in WARR ACRES, Oklahoma. NPI 1518569110 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · WARR ACRES, OK

Registration Details

NPI Number
1518569110
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2020 (5.7478377572696 yrs)
Last Updated
Nov 10, 2020
License
17661 (OK)
Sole Proprietor
Yes

Practice Information

Address
64374 N MACARTHUR BLVD
WARR ACRES, OK, 73132
Browse OK providers · Browse ZIP 73132
Phone
4054951040
Fax
4054951073
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in WARR ACRES, OK

Name Credential NPI
DR. JASON ROBERT REVEL PHARM.D. 1639347313
MR. E CHET CAYWOOD PHARMD 1992086938
DR. TRAN NGUYEN PHARM.D 1669753422
MR. JERRY SKARIAH GEORGE PHARM.D 1356623482
LEAH GRAMLING PHARMD 1588947121
ADAM SCHROEDER PHARMD 1881977395
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.