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

Dr. Travis Wallace, PHARMD

Individual provider Pharmacist · NPI 1437402153

Dr. Travis Wallace, PHARMD is a Pharmacist in Fuquay Varina, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
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

1526 Broad St
Fuquay Varina, NC 27526-8363
Phone: (919) 552-1126
Fax: (919) 552-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20468 (NC)

Record details

NPI number1437402153
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012

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