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

Guy Wallace

Individual provider Pharmacist · NPI 1003161639

Guy Wallace is a Pharmacist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
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Practice location Address checks out

500 Brookhaven Ave NE
Atlanta, GA 30319-3291
Phone: (404) 460-1924
Fax: (404) 460-1921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 018447 (GA)

Record details

NPI number1003161639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012
Mailing address500 Brookhaven Ave Ne, Atlanta, GA 30319-3291

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