BRANDY WALLACE
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1881282341- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 100 E MCGALLIARD RD, MUNCIE, IN, 473031166
- Phone
- (765) 288-6171
- Fax
- (765) 288-7308
Specialties & Taxonomies
Pharmacy Technician
Primary License: IN #67008185A