Individual provider · Type 1 NPI

Travis Wallace, PharmD

Pharmacist · Fuquay Varina, NC

NPI number 1437402153 Active

Practice location

1526 Broad St
Fuquay Varina, NC 27526-8363

Call (919) 552-1126 Map

Fax (919) 552-6017

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20468 (NC)

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 1437402153

Travis Wallace, PharmD's National Provider Identifier is 1437402153, issued on Oct 18, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fuquay Varina, NC. The record was last updated on Oct 18, 2012.