Individual
MS. DANIELLE N WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
329 S SALINA ST, SUITE P, SYRACUSE, NY 13203
(315) 930-3823
Mailing address
329 S SALINA ST, SUITE P, SYRACUSE, NY 13203
(315) 930-3823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047490
NY
Other
Enumeration date
12/06/2007
Last updated
11/08/2023
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