Wallace, Brianna Marie

Wallace, Brianna Marie is an individual health care provider with primary practice located at 8700 S Kedzie Ave , Evergreen Park IL 60805-1024. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Wallace, Brianna Marie can be contacted via phone (708) 499-8051.

Contact Information

Primary practice address
8700 S Kedzie Ave Evergreen Park IL 60805-1024
Phone: (708) 499-8051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051.304975 Illinois

Profile Details

NPI number 1649986555
LBN Legal business name Wallace, Brianna Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2023
Last updated Jan 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers