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

Individual provider Pharmacist · NPI 1851675334

William Gregoy Wallace, RPH is a Pharmacist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1530 Lafayette Ave
Saint Louis, MO 63104-3323
Phone: (314) 678-1039
Fax: (314) 678-1045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2001032928 (MO)
Pharmacist Taxonomy 183500000X · Licence 051290474 (IL)

Record details

NPI number1851675334
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedOctober 3, 2011
Last updated in NPPESOctober 3, 2011
Mailing address1530 Lafayette Ave, Saint Louis, MO 63104-3323

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