Kole Wallace
Kole Wallace is a Pharmacist in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2019.
- Licensed in
- OH
- In the registry since
- 2019
Practice location Address checks out
1009 Park Ave WMansfield, OH 44906-2809
Phone: (419) 525-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 03439126 (OH) |
|---|
Record details
| NPI number | 1760039192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2019 |
| Last updated in NPPES | August 21, 2019 |
| Mailing address | 426 Chevy Chase Rd, Mansfield, OH 44907-1547 |
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