Mr. Michael Wallace II
Mr. Michael Wallace II is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
260 Arden AveStaten Island, NY 10312-1229
Phone: (718) 966-5509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 066034 (NY) |
|---|
Record details
| NPI number | 1356917553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2021 |
| Last updated in NPPES | May 28, 2021 |
| Certification date | May 28, 2021 |
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