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Dr. Bryce Alexander Wallace, PHARMD
Pharmacist in Portageville, Missouri
NPI 1316722259

Bryce Alexander Wallace is a Pharmacist based in Portageville, MO. Bryce Alexander Wallace practices in Portageville, MO and has the professional credentials of PHARMD. The NPI Number for Bryce Alexander Wallace is 1316722259 and holds a License No. 2021038939 (Missouri).

The current practice location address for Bryce Alexander Wallace is 222 E Main St, Portageville, MO and can be reached out via phone at 573-379-5460 and via fax at 573-379-5459.

Location: 222 E Main St, Portageville, MO, 63873-9102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316722259
Provider Name
Bryce Alexander Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
222 E Main St, Portageville, MO, 63873-9102
Phone Number
573-379-5460
Fax Number
573-379-5459
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 E Main St
City
Portageville
State
Missouri
Zip
63873-1614
Phone Number
573-379-5460
Fax Number
573-379-5459
person
Provider Business Mailing Address Details
Address
222 E Main St
City
Portageville
State
Missouri
Zip
63873-1614
Phone Number
573-379-5460
Fax Number
573-379-5459
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2021038939 (Missouri)
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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