Paul Wallace

Pharmacist · Warr Acres, OK

Individual Active NPI

NPI number 1518569110

Practice location

64374 N Macarthur Blvd
Warr Acres, OK 73132
Phone
(405) 495-1040
Fax
(405) 495-1073

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NPI record

NPI
1518569110
Entity type
Individual (Type 1)
Enumeration date
November 10, 2020
Last updated
November 10, 2020
Certified
November 7, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 17661 OK

About Paul Wallace

Paul Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 64374 N Macarthur Blvd, Warr Acres, OK 73132. The NPI number 1518569110 was assigned on November 10, 2020 and the record was last updated on November 10, 2020.

Paul Wallace lists a license in the registry: #17661 (OK) 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 Paul Wallace?

The NPI number is 1518569110.

What is the phone number of Paul Wallace?

The phone number listed for the practice location is (405) 495-1040.

Where is Paul Wallace located?

64374 N Macarthur Blvd, Warr Acres, OK 73132.

What is the taxonomy code for Paul 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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