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

Mr. John Mark Wallace, RPH

Individual provider Pharmacist · NPI 1154356467

Mr. John Mark Wallace, RPH is a Pharmacist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3169351701 (UT)

Record details

NPI number1154356467
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1422 E 9090 S, Sandy, UT 84093-2203

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