Individual provider · Type 1 NPI
Dwight D. Wallace, PharmD
Pharmacist · Aberdeen, ID
Practice location
44 S. Main St
Aberdeen, ID 83210
Mailing address
PO Box 841
Aberdeen, ID 83210-0841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | P4895 (ID) |
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…
About NPI 1104245620
Dwight D. Wallace, PharmD's National Provider Identifier is 1104245620, issued on Apr 11, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Aberdeen, ID. The record was last updated on Apr 11, 2014.