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Melissa Wallace, RPH

NPI 1922687854 · on the registry since 2021 · sole proprietor

Practice

Address
40017 La-42
Prairieville, LA 70769
Phone
(225) 300-6080

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-07

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 Louisiana