Search › Oklahoma › 183500000X
Mark Wallace, DOCTOR OF PHARMACY
NPI 1205110434 · on the registry since 2011
Practice
- Address
- 301 S Sante Fe Ave
Edmond, OK 73003 - Phone
- (405) 330-6093
- Fax
- (405) 330-6153
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-06
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 Oklahoma