Individual provider · Type 1 NPI

Victoria L. Wallace, PharmD

Pharmacist · Payette, ID

NPI number 1811279268 Active

Practice location

405 S 8th Street
Payette, ID 83661

Mailing address

2726 S Montauk Ave
Boise, ID 83709-3300

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP5339 (ID)
Pharmacist 183500000XRPH0009655 (OR)

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 1811279268

Victoria L. Wallace, PharmD's National Provider Identifier is 1811279268, issued on Sep 12, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Payette, ID. The record was last updated on Sep 12, 2011.