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Spencer Allen Wallace
Pharmacist in Grand Forks Afb, North Dakota
NPI 1841837309

Spencer Allen Wallace is a Pharmacist based in Grand Forks Afb, ND. Spencer Allen Wallace practices in Grand Forks Afb, ND. The NPI Number for Spencer Allen Wallace is 1841837309 and holds a License No. 18471 (North Dakota).

The current practice location address for Spencer Allen Wallace is 1599 J St, Grand Forks Afb, ND and can be reached out via phone at 701-747-5382.

Location: 1599 J St, Grand Forks Afb, ND, 58204-1299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841837309
Provider Name
Spencer Allen Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
1599 J St, Grand Forks Afb, ND, 58204-1299
Phone Number
701-747-5382
Fax Number
Provider Enumeration Date
12/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1599 J St
City
Grand Forks Afb
State
North Dakota
Zip
58205-6306
Phone Number
701-747-5382
Fax Number
person
Provider Business Mailing Address Details
Address
1599 J St
City
Grand Forks Afb
State
North Dakota
Zip
58205-6306
Phone Number
701-747-5382
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
18471 (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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