Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE PHARMACY INC
Active OrganizationLong-Term Care Pharmacy · ABERDEEN, ID
Registration Details
- NPI Number
- 1710038716
- Provider Type
- Organization
- NPI Issued
- Jan 16, 2007 (19.323731532607 yrs)
- Last Updated
- Mar 10, 2017
- License
-
1129RP (ID)
Practice Information
- Address
-
44 S MAINABERDEEN, ID, 832100841Browse ID providers · Browse ZIP 83210
- Phone
- 2083974540
- Fax
- 2083975215
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.