Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH W WALLACE, RPH
ActiveMR. KEITH W WALLACE, RPH is a Pharmacotherapy Specialist healthcare provider located in MILLVILLE, New Jersey. NPI 1932483203 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · MILLVILLE, NJ
Registration Details
- NPI Number
- 1932483203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2011 (14.858359807848 yrs)
- Last Updated
- Oct 5, 2011
- License
-
28RI01730800 (NJ)
Practice Information
- Address
-
1111 N HIGH STMILLVILLE, NJ, 083322528Browse NJ providers · Browse ZIP 08332
- Phone
- 8562939717
- Fax
- 8562937980
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
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.