Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Pharmacy Inc

Organization Pharmacy · NPI 1710038716

Wallace Pharmacy Inc is a Pharmacy in Aberdeen, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

44 S Main
Aberdeen, ID 83210-0841
Phone: (208) 397-4540
Fax: (208) 397-5215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1129RP (ID)
Pharmacy Taxonomy 333600000X

Record details

NPI number1710038716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Wallace — Ceo/Pic · (208) 397-4540
Other names Wallace Drug
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMarch 10, 2017
Mailing address44 S Main, Po Box 841, Aberdeen, ID 83210-0841