Individual provider · Type 1 NPI

Mable Wu Wallace

Pharmacist · Ashburn, VA

NPI number 1144512757 Active

Practice location

20070 Ashbrook Commons Plz
Ashburn, VA 20147-5034

Fax (571) 223-0542

Mailing address

37081 Elaine Pl
Purcellville, VA 20132-5072

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202205009 (VA)

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 1144512757

Mable Wu Wallace's National Provider Identifier is 1144512757, issued on May 15, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ashburn, VA. The record was last updated on May 15, 2011.