KENNIS WALLACE JR., RPH
Pharmacist
Active
Individual
NPI: 1811981939
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | - |
Frequently Asked Questions
NPI 1811981939 is the National Provider Identifier for KENNIS WALLACE JR., RPH, a Pharmacist provider located in Harrisburg, IL. This NPI was enumerated on September 2, 2005.
KENNIS WALLACE JR., RPH practices at 303 S COMMERCIAL ST, PARKER PLAZA, Harrisburg, IL 62946.
Quick Facts
- NPI
- 1811981939
- Type
- Individual
- Enumerated
- Sep 2, 2005
- Last Updated
- Jul 8, 2007
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