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Mr. Mark James Wallace, DOCTOROFPHARMACY
Pharmacist in Edmond, Oklahoma
NPI 1205110434

Mark James Wallace is a Pharmacist based in Edmond, OK. Mark James Wallace practices in Edmond, OK and has the professional credentials of DOCTOROFPHARMACY. The NPI Number for Mark James Wallace is 1205110434 and holds a License No. 11913 (Oklahoma).

The current practice location address for Mark James Wallace is 301 S Sante Fe Ave, Edmond, OK and can be reached out via phone at 405-330-6093 and via fax at 405-330-6153.

Location: 301 S Sante Fe Ave, Edmond, OK, 73003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205110434
Provider Name
Mark James Wallace
Credential
DOCTOROFPHARMACY
Provider Entity Type
Individual
Gender
Male
Address
301 S Sante Fe Ave, Edmond, OK, 73003
Phone Number
405-330-6093
Fax Number
405-330-6153
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 S Sante Fe Ave
City
Edmond
State
Oklahoma
Zip
73003
Phone Number
405-330-6093
Fax Number
405-330-6153
person
Provider Business Mailing Address Details
Address
301 S Sante Fe Ave
City
Edmond
State
Oklahoma
Zip
73003
Phone Number
405-330-6093
Fax Number
405-330-6153
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
11913 (Oklahoma)
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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