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Travis Wallace, PHARMD
NPI 1437402153 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1526 Broad St
Fuquay Varina, NC 27526 - Phone
- (919) 552-1126
- Fax
- (919) 552-6017
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-18
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 North Carolina