Individual
DR. MICHELLE MAYER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2413 HIGHWAY 431 NORTH, ANNISTON, AL 36206
(256) 820-6901
Mailing address
2413 HIGHWAY 431 NORTH, ANNISTON, AL 36206
(256) 820-6901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14023
AL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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