Individual provider · Type 1 NPI

Kristie L. Meacheam Wallace, RPH

Pharmacist · Ozark, MO

NPI number 1093098063 Active

Practice location

2004 W Marler Ln
Ozark, MO 65721-7661

Call (417) 581-3288 Map

Mailing address

1039 E Maryland Ct
Springfield, MO 65810-2982

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X044157 (MO)

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 1093098063

Kristie L. Meacheam Wallace, RPH's National Provider Identifier is 1093098063, issued on Sep 26, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ozark, MO. The record was last updated on Dec 22, 2016.