SearchColorado3336C0003X

Stephanie Wallace, PHARMD

NPI 1477943223 · on the registry since 2015 · sole proprietor

Practice

Address
815 Cheyenne Meadows Rd
Colorado Springs, CO 80906
Phone
(719) 527-1640
Organisation at this address
Dillon Companies Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
3336C0003X
3336C0003X
Also registered as
183500000X
183500000X
183500000X
Licence states on file
NY, TN, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-05

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 Colorado