Individual provider · Type 1 NPI

Bryce Alexander Wallace, PharmD

Pharmacist · Portageville, MO

NPI number 1316722259 Active

Practice location

222 E Main St
Portageville, MO 63873-1614

Fax (573) 379-5459

Mailing address

101 Richland Rd
Portageville, MO 63873-9102

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2021038939 (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…

4 other providers at this address

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About NPI 1316722259

Bryce Alexander Wallace, PharmD's National Provider Identifier is 1316722259, issued on Aug 29, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portageville, MO. The record was last updated on Aug 29, 2023.