Mr. Robert Wallace
Mr. Robert Wallace is a Pharmacist in Litchfield Park, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
12421 W Denton AveLitchfield Park, AZ 85340-3435
Phone: (623) 535-9788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence INTERN -- 6699 (AZ) |
|---|
Record details
| NPI number | 1750443024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 12421 W Denton Ave, Litchfield Park, AZ 85340-3435 |
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