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

Dwight D. Wallace, PHARMD

Individual provider Pharmacist · NPI 1104245620

Dwight D. Wallace, PHARMD is a Pharmacist in Aberdeen, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
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

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

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P4895 (ID)

Record details

NPI number1104245620
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedApril 11, 2014
Last updated in NPPESApril 11, 2014
Mailing addressPo Box 841, Aberdeen, ID 83210-0841