| Dr Bryce Alexander Wallace, PHARMD | |
|
222 E Main St, Portageville, MO 63873-1614 | |
| (573) 379-5460 | |
| (573) 379-5459 |
| Full Name | Dr Bryce Alexander Wallace |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 222 E Main St, Portageville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316722259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 2021038939 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryce Alexander Wallace, PHARMD 101 Richland Rd, Portageville, MO 63873-9102 Ph: (573) 724-2627 | Dr Bryce Alexander Wallace, PHARMD 222 E Main St, Portageville, MO 63873-1614 Ph: (573) 379-5460 |
Mr. Donald D Rone Iii, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St, Portageville, MO 63873 Phone: 573-379-5469 Fax: 573-379-5459 | |
Audrey H Shelly, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 56 Randolph St, Portageville, MO 63873 Phone: 573-391-0553 |