MS. DIANE WALLACE, R.PH.

Pharmacist

Active Individual
NPI: 1689739211

Practice Address

50 N MEDICAL DR
ROOM 1400
Salt Lake City, UT 84132

Phone: (801) 581-2276

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 1433401701 (UT)

Frequently Asked Questions

NPI 1689739211 is the National Provider Identifier for MS. DIANE WALLACE, R.PH., a Pharmacist provider located in Salt Lake City, UT. This NPI was enumerated on December 26, 2006.
MS. DIANE WALLACE, R.PH. practices at 50 N MEDICAL DR, ROOM 1400, Salt Lake City, UT 84132.

Quick Facts

NPI
1689739211
Type
Individual
Enumerated
Dec 26, 2006
Last Updated
Jul 8, 2007

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