Wallace, Vickie E
Wallace, Vickie E is an individual health care provider with primary practice located at 1650 Dunlawton Ave , Port Orange FL 32127-4754. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wallace, Vickie E can be contacted via phone (386) 322-3267.Contact Information
Primary practice address
1650 Dunlawton Ave
Port Orange FL 32127-4754
Phone: (386) 322-3267
Fax: (386) 322-9321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS29744 | Florida |
Profile Details
| NPI number | 1942577127 |
|---|---|
| LBN Legal business name | Wallace, Vickie E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2011 |
| Last updated | Nov 16th, 2011 - about 15 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.
Popular Providers
-
Terry, Meechelle Lyn
1771 Dunlawton Ave , Port Orange FL 32127-4757 -
Kudzol, Marc John
1650 Dunlawton Ave , Port Orange FL 32127-4754 -
Lamura, John Victor
1660 Taylor Rd , Port Orange FL 32128-6753 -
Day, Damon
1650 Dunlawton Ave Walgreens Pharmacy Dept, Port Orange FL 32127-4754 -
Shiu, Wade
3821 S Nova Rd , Port Orange FL 32127 -
Ghabras, Dimetry
1625 Taylor Rd , Port Orange FL 32128-6925 -
Wheeler, Stephanie
1660 Taylor Rd , Port Orange FL 32128-6753 -
Hana, Gemy A
1625 Taylor Rd , Port Orange FL 32128-6925