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

Dr. Larique Wallace, PHARMD

Individual provider Pharmacist · NPI 1114592714

Dr. Larique Wallace, PHARMD is a Pharmacist in Stamford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

780 E Main St
Stamford, CT 06902-3832
Phone: (203) 353-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PCT.0015392 (CT)

Record details

NPI number1114592714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address780 E Main St, Stamford, CT 06902-3832

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