Kole Wallace is a Pharmacist based in Mansfield, OH. Kole Wallace practices in Mansfield, OH. The NPI Number for Kole Wallace is 1760039192 and holds a License No. 03439126 (Ohio).
The current practice location address for Kole Wallace is 1009 Park Ave W, Mansfield, OH and can be reached out via phone at 419-525-7300.
Location: 1009 Park Ave W, Mansfield, OH, 44907-1547
Provider Profile Details
NPI Number
1760039192
Provider Name
Kole Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
1009 Park Ave W, Mansfield, OH, 44907-1547
Phone Number
419-525-7300
Fax Number
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1009 Park Ave W
City
State
Zip
44906-2809
Phone Number
419-525-7300
Fax Number
Provider Business Mailing Address Details
Address
1009 Park Ave W
City
State
Zip
44906-2809
Phone Number
419-525-7300
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
03439126 (Ohio)
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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