Individual provider · Type 1 NPI

Stephanie Lynn Wallace

Pharmacist · Pikeville, KY

NPI number 1023619061 Active

Practice location

254 Cassidy Blvd
Pikeville, KY 41501-1426

Fax (606) 432-6182

Mailing address

108 Sandy St
Pikeville, KY 41501-2002

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X011733 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1023619061

Stephanie Lynn Wallace's National Provider Identifier is 1023619061, issued on Nov 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pikeville, KY. The record was last updated on Nov 5, 2020.