Dr. Andrew Wallace, PharmD, RPh
Pharmacist in Birmingham, AL. Individual provider (NPI-1).
NPI number1669960795
StatusActive
Last updated in NPPESApr 24, 2018
Details
- NPI
- 1669960795
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Wallace
- Credential
- PharmD, RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2018
- Last updated
- Apr 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19116 | AL | Yes |
Practice location
413 19th Street EnsleyBirmingham, AL 35218-1601
Phone 205-787-4671 · Fax 205-788-0450
Mailing address
1440 Oakridge DrBirmingham, AL 35242-3522
Phone 205-413-2297
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