Individual
ADRIENNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9082 MOFFETT RD, SEMMES, AL 36575-5242
(251) 404-8513
Mailing address
11640 BRADY RD, SEMMES, AL 36575-6500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21395
AL
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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