Mable Wu Wallace

Pharmacist · Ashburn, VA

Individual Active NPI

NPI number 1144512757

Practice location

20070 Ashbrook Commons PLZ
Ashburn, VA 20147-5034
Phone
(571) 223-0517
Fax
(571) 223-0542

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NPI record

NPI
1144512757
Entity type
Individual (Type 1)
Enumeration date
May 15, 2011
Last updated
May 15, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0202205009 VA

Mailing address

37081 Elaine Pl
Purcellville, VA 20132-5072
Phone
(703) 801-9967

About Mable Wallace

Mable Wu Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 20070 Ashbrook Commons PLZ, Ashburn, VA 20147-5034. The NPI number 1144512757 was assigned on May 15, 2011 and the record was last updated on May 15, 2011.

Mable Wallace lists a license in the registry: #0202205009 (VA) 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 Mable Wu Wallace?

The NPI number is 1144512757.

What is the phone number of Mable Wallace?

The phone number listed for the practice location is (571) 223-0517.

Where is Mable Wallace located?

20070 Ashbrook Commons PLZ, Ashburn, VA 20147-5034.

What is the taxonomy code for Mable 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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