Individual
DR. ALEXANDRIA LYNN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
24165 IH 10 W STE 300, SAN ANTONIO, TX 78257-1161
(210) 687-1072
(210) 568-4920
Mailing address
103 TURTLE CRK, BOERNE, TX 78006-2896
(210) 997-6770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
269783
TX
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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