Individual
DR. HEATHER FREEMAN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W TRADE ST, DALLAS, NC 28034-1544
(704) 922-7187
Mailing address
232 CARPENTER RD, BESSEMER CITY, NC 28016-9711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21831
NC
Other
Enumeration date
08/25/2011
Last updated
01/13/2017
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