Individual provider · Type 1 NPI

Deltha L. Wallace, RPH

Pharmacist · Essexville, MI

NPI number 1093810079 Active

Practice location

1454 W Center Rd
Essexville, MI 48732-2112

Fax (989) 895-4569

Mailing address

3021 Shannon Ln
Bay City, MI 48706-2317

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302022089 (MI)

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…

4 other providers at this address

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About NPI 1093810079

Deltha L. Wallace, RPH's National Provider Identifier is 1093810079, issued on Sep 14, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Essexville, MI. The record was last updated on Jul 8, 2007.