Individual
MRS. JULIET C WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1940
(405) 307-1961
Mailing address
2500 SW 83RD ST, OKLAHOMA CITY, OK 73159-5733
(405) 686-1472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11375
OK
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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