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

SPENCER ALLEN WALLACE

Active

SPENCER ALLEN WALLACE is a Pharmacist healthcare provider located in GRAND FORKS AFB, North Dakota. NPI 1841837309 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GRAND FORKS AFB, ND

Registration Details

NPI Number
1841837309
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2019 (6.6765705617394 yrs)
Last Updated
Dec 4, 2019
License
18471 (OK)

Practice Information

Address
1599 J ST
GRAND FORKS AFB, ND, 582056306
Browse ND providers · Browse ZIP 58205
Phone
7017475382
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in GRAND FORKS AFB, ND

Name Credential NPI
HEATHER A RAY PHARM. D. 1801882980
DR. DOREEN MARIE HINSZ PHARM D 1841453313
RACHEL ELIZABETH STEVENS PHARMD 1134849367
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.