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

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1164055604

Bob Wallace is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Katy, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

22150 Westheimer Pkwy
Katy, TX 77450-8296
Phone: (281) 828-8778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 30292 (TX)

Record details

NPI number1164055604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address22150 Westheimer Pkwy, Katy, TX 77450-8296

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