| Audrey C Wallace, RPH | |
|
5026 W Us Highway 52, New Palestine, IN 46163-9770 | |
| (317) 861-4838 | |
| Not Available |
| Full Name | Audrey C Wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 5026 W Us Highway 52, New Palestine, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295339430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 03440267 (Ohio) | Secondary |
| 183500000X | Pharmacist | 26029026A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey C Wallace, RPH 1836 N 300 W, Greenfield, IN 46140-8425 Ph: () - | Audrey C Wallace, RPH 5026 W Us Highway 52, New Palestine, IN 46163-9770 Ph: (317) 861-4838 |
Jensen Sarae Kornokovich, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5026 W Us 52, New Palestine, IN 46163 Phone: 317-861-4838 | |
Robert Philip Romano, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2461 S Wildflower Lane, New Palestine, IN 46163 Phone: 317-698-3036 | |
Frank Henry Perkins Iii, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5026 W Us 52, New Palestine, IN 46163 Phone: 317-861-4838 Fax: 317-861-0496 |