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Cory Wallace, PHARMD
Pharmacist in Broken Arrow, Oklahoma
NPI 1972103745

Cory Wallace is a Pharmacist based in Tulsa, OK. Cory Wallace practices in Broken Arrow, OK and has the professional credentials of PHARMD. The NPI Number for Cory Wallace is 1972103745 and holds a License No. 14955 (Oklahoma).

The current practice location address for Cory Wallace is 2301 W Kenosha St, Broken Arrow, OK and can be reached out via phone at 918-259-9136.

Location: 2301 W Kenosha St, Broken Arrow, OK, 74137-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972103745
Provider Name
Cory Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2301 W Kenosha St, Broken Arrow, OK, 74137-5023
Phone Number
918-259-9136
Fax Number
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2301 W Kenosha St
City
Broken Arrow
State
Oklahoma
Zip
74012-8912
Phone Number
918-259-9136
Fax Number
person
Provider Business Mailing Address Details
Address
2301 W Kenosha St
City
Broken Arrow
State
Oklahoma
Zip
74012-8912
Phone Number
918-259-9136
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
14955 (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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