Wallace, Renee
Wallace, Renee is an sole proprietor health care provider with primary practice located at 1046 S Kirkwood Rd T-1279, Kirkwood MO 63122-7200. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wallace, Renee can be contacted via phone (314) 822-4051.Contact Information
Primary practice address
1046 S Kirkwood Rd T-1279
Kirkwood MO 63122-7200
Phone: (314) 822-4051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2012026473 | Missouri |
Profile Details
| NPI number | 1376899716 |
|---|---|
| LBN Legal business name | Wallace, Renee |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2012 |
| Last updated | Aug 2nd, 2012 - about 14 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.
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