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Dwight Wallace, PHARMD
NPI 1104245620 · on the registry since 2014 · sole proprietor
Practice
- Address
- 44 S. Main St
Aberdeen, ID 83210 - Phone
- (208) 397-4540
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho