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

Kennis Hal Wallace Jr., RPH

Individual provider Pharmacist · NPI 1811981939

Kennis Hal Wallace Jr., RPH is a Pharmacist in Harrisburg, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

303 S Commercial St Parker Plz
Harrisburg, IL 62946-2125
Phone: (618) 253-7621
Fax: (618) 252-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X (IL)

Record details

NPI number1811981939
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJuly 13, 2026

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