Individual provider · Type 1 NPI
Mark James Wallace, DOCTOR OF PHARMACY
Pharmacist · Edmond, OK
Practice location
301 S Sante Fe Ave
Edmond, OK 73003
Fax (405) 330-6153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 11913 (OK) |
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…
Another provider at this address
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About NPI 1205110434
Mark James Wallace, DOCTOR OF PHARMACY's National Provider Identifier is 1205110434, issued on Oct 6, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edmond, OK. The record was last updated on Oct 6, 2011.