Individual
DR. ANDREW WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
413 19TH STREET ENSLEY, BIRMINGHAM, AL 35218-1601
(205) 787-4671
(205) 788-0450
Mailing address
1440 OAKRIDGE DR, BIRMINGHAM, AL 35242-3522
(205) 413-2297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19116
AL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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