David Wallace, R.PH

NPI 1376667964 · on the registry since 2007 · sole proprietor

Practice

Address: 621 S New Ballas Rd
Creve Coeur, MO 63141
Phone: (314) 251-7444
Fax: (314) 251-7443
Organisation at this address: St Louis County Internal Medicine Inc
Childrens Endocrine Care Of St. Louis, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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