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Search › Missouri › 183500000X

Bryce Wallace, PHARMD

NPI 1316722259 · on the registry since 2023

Practice

Address
222 E Main St
Portageville, MO 63873
Phone
(573) 379-5460
Fax
(573) 379-5459
Organisation at this address
Butler Drug Store Inc
Butler Drug Store Inc
Butler Drug Store Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-29

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 Missouri