Paul John Wallace, RPH

Pharmacist · Monroe, NC

Individual Active NPI

NPI number 1669794764

Practice location

1993 Dickerson Blvd
Monroe, NC 28110-2795
Phone
(704) 296-5080

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NPI record

NPI
1669794764
Entity type
Individual (Type 1)
Enumeration date
February 17, 2010
Last updated
February 17, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 15840 NC

Mailing address

6214 Pumpernickel Ln
Monroe, NC 28110-8639
Phone
(704) 291-7805

About Paul Wallace

Paul John Wallace, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1993 Dickerson Blvd, Monroe, NC 28110-2795. The NPI number 1669794764 was assigned on February 17, 2010 and the record was last updated on February 17, 2010.

Paul Wallace lists a license in the registry: #15840 (NC) 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 John Wallace, RPH?

The NPI number is 1669794764.

What is the phone number of Paul Wallace?

The phone number listed for the practice location is (704) 296-5080.

Where is Paul Wallace located?

1993 Dickerson Blvd, Monroe, NC 28110-2795.

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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