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Individual
KAREN ELIZABETH BRUESTLE-WALLACE
Active
Individual
KAREN ELIZABETH BRUESTLE-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11872
AL
183500000X
Pharmacist
Primary
27331
NC
183500000X
Pharmacist
40764
TN
183500000X
Pharmacist
PS25711
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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