Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNIS HAL WALLACE JR., RPH
ActiveKENNIS HAL WALLACE JR., RPH is a Pharmacist healthcare provider located in HARRISBURG, Illinois. NPI 1811981939 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · HARRISBURG, IL
Registration Details
- NPI Number
- 1811981939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (20.915404000844 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
303 S COMMERCIAL STPARKER PLAZAHARRISBURG, IL, 629462125Browse IL providers · Browse ZIP 62946
- Phone
- 6182537621
- Fax
- 6182527455
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in HARRISBURG, IL
| Name | Credential | NPI |
|---|---|---|
| ARNOLD E RAMAGE | RPH | 1245511260 |
| DR. JAMES CODY SANDUSKY | PHARM.D. | 1336485622 |
| ELLIOTT MUMMERT | PHARMD | 1932504438 |
| CARRIE WIGGINS | RPH | 1548636178 |
| MINDI ABNEY | RPH | 1073062063 |
| LESLIE WHEELER | PHARM D | 1770195117 |
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.