Individual provider · Type 1 NPI

William Gregoy Wallace, RPH

Pharmacist · St. Louis, MO

NPI number 1851675334 Active

Practice location

1530 Lafayette Ave
St. Louis, MO 63104-3323

Call (314) 678-1039 Map

Fax (314) 678-1045

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2001032928 (MO)
Pharmacist 183500000X051290474 (IL)

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 1851675334

William Gregoy Wallace, RPH's National Provider Identifier is 1851675334, issued on Oct 3, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 3, 2011.