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

Dr. Bryce Alexander Wallace, PHARMD

Individual provider Pharmacist · NPI 1316722259

Dr. Bryce Alexander Wallace, PHARMD is a Pharmacist in Portageville, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

222 E Main St
Portageville, MO 63873-1614
Phone: (573) 379-5460
Fax: (573) 379-5459
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2021038939 (MO)

Record details

NPI number1316722259
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address101 Richland Rd, Portageville, MO 63873-9102

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