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Dwight D. Wallace, PHARMD
Pharmacist in Aberdeen, Idaho
NPI 1104245620

Dwight D. Wallace is a Pharmacist based in Aberdeen, ID. Dwight D. Wallace practices in Aberdeen, ID and has the professional credentials of PHARMD. The NPI Number for Dwight D. Wallace is 1104245620 and holds a License No. P4895 (Idaho).

The current practice location address for Dwight D. Wallace is 44 S. Main St, Aberdeen, ID and can be reached out via phone at 208-397-4540.

Location: 44 S. Main St, Aberdeen, ID, 83210-0841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104245620
Provider Name
Dwight D. Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
44 S. Main St, Aberdeen, ID, 83210-0841
Phone Number
208-397-4540
Fax Number
Provider Enumeration Date
04/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44 S. Main St
City
Aberdeen
State
Idaho
Zip
83210
Phone Number
208-397-4540
Fax Number
person
Provider Business Mailing Address Details
Address
44 S. Main St
City
Aberdeen
State
Idaho
Zip
83210
Phone Number
208-397-4540
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P4895 (Idaho)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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