STEPHANIE WALLACE PharmD
Individual Provider (NPI-1)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1477943223- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PharmD
- Status
- Active
Contact & Location
- Address
- 815 CHEYENNE MEADOWS RD, COLORADO SPRINGS, CO, 809064929
- Phone
- (719) 527-1640
Specialties & Taxonomies
Pharmacist
License: NY #058853
Pharmacist
License: TN #33624
Pharmacist
License: CO #0020679
Pharmacy, Community/Retail Pharmacy
Primary License: CO #0020679