Individual provider · Type 1 NPI

Paul John Wallace, RPH

Pharmacist · Monroe, NC

NPI number 1669794764 Active

Practice location

1993 Dickerson Blvd
Monroe, NC 28110-2795

Mailing address

6214 Pumpernickel Ln
Monroe, NC 28110-8639

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15840 (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 1669794764

Paul John Wallace, RPH's National Provider Identifier is 1669794764, issued on Feb 17, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Monroe, NC. The record was last updated on Feb 17, 2010.