Individual
SHAREIKA DENELL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5825 BROCKWAY RD, SAGINAW, MI 48638-4522
(989) 497-8112
(989) 497-8114
Mailing address
5825 BROCKWAY RD, SAGINAW, MI 48638-4522
(989) 497-8112
(989) 497-8114
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303019609
MI
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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