William Lee Wallace
William Lee Wallace is a Pharmacist in Malvern, Arkansas. Licensed in Arkansas. Registered with an NPI since 2020.
- Licensed in
- AR
- In the registry since
- 2020
Practice location Address checks out
308 S Main StMalvern, AR 72104-3737
Phone: (501) 467-8197
Fax: (501) 467-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PH07329 (AR) |
|---|
Record details
| NPI number | 1528670361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 22, 2020 |
| Last updated in NPPES | August 22, 2020 |
| Certification date | August 22, 2020 |
| Mailing address | 308 S Main St, Malvern, AR 72104-3737 |
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