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

Spencer Allen Wallace

Individual provider Pharmacist · NPI 1841837309

Spencer Allen Wallace is a Pharmacist in Grand Forks AFB, North Dakota. Licensed in Oklahoma. Registered with an NPI since 2019.

Licensed in
OK
In the registry since
2019

Practice location Address checks out

1599 J St
Grand Forks AFB, ND 58205-6306
Phone: (701) 747-5382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18471 (OK)

Record details

NPI number1841837309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 4, 2019

Other providers in Grand Forks AFB