Individual provider · Type 1 NPI

David C. Wallace, R.PH.

Pharmacist · Creve Coeur, MO

NPI number 1376667964 Active

Practice location

621 S New Ballas Rd
Creve Coeur, MO 63141-8232

Call (314) 251-7444 Map

Fax (314) 251-7443

Mailing address

817 Brockwell Dr
Dardenne Prairie, MO 63368-8373

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH044996 (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…

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About NPI 1376667964

David C. Wallace, R.PH.'s National Provider Identifier is 1376667964, issued on Mar 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Creve Coeur, MO. The record was last updated on Jul 8, 2007.