Stephanie Lynn Wallace

Pharmacist · Pikeville, KY

Individual Active NPI

NPI number 1023619061

Practice location

254 Cassidy Blvd
Pikeville, KY 41501-1426
Phone
(606) 432-6180
Fax
(606) 432-6182

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NPI record

NPI
1023619061
Entity type
Individual (Type 1)
Enumeration date
November 5, 2020
Last updated
November 5, 2020
Certified
November 5, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 011733 KY

Mailing address

108 Sandy St
Pikeville, KY 41501-2002
Phone
(606) 899-5738

About Stephanie Wallace

Stephanie Lynn Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 254 Cassidy Blvd, Pikeville, KY 41501-1426. The NPI number 1023619061 was assigned on November 5, 2020 and the record was last updated on November 5, 2020.

Stephanie Wallace lists a license in the registry: #011733 (KY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephanie Lynn Wallace?

The NPI number is 1023619061.

What is the phone number of Stephanie Wallace?

The phone number listed for the practice location is (606) 432-6180.

Where is Stephanie Wallace located?

254 Cassidy Blvd, Pikeville, KY 41501-1426.

What is the taxonomy code for Stephanie Wallace?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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