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

MR. ROBERT WALLACE

Active Sole Proprietor

MR. ROBERT WALLACE is a Pharmacist healthcare provider located in LITCHFIELD PARK, Arizona. NPI 1750443024 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LITCHFIELD PARK, AZ

Registration Details

NPI Number
1750443024
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2006 (19.64732607387 yrs)
Last Updated
Jul 8, 2007
License
INTERN -- 6699 (AZ)
Sole Proprietor
Yes

Practice Information

Address
12421 W DENTON AVE
LITCHFIELD PARK, AZ, 853403435
Browse AZ providers · Browse ZIP 85340
Phone
6235359788
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LITCHFIELD PARK, AZ

Name Credential NPI
DR. JOHN-PAUL HUSTON PHARMD 1225353261
DR. ALAELDIN O MOHAMED PHARM.D 1508170184
MRS. REBECCA ANN ELIA RPH 1134420490
MRS. VONDA VOLESKY R.PH. 1033410154
PANKAJ PATIL 1952602500
SUL KI LEE 1801170154
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.