| Dr Victoria L Wallace, PHARMD | |
|
405 S 8th Street, Payette, ID 83661 | |
| (208) 642-9331 | |
| Not Available |
| Full Name | Dr Victoria L Wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 405 S 8th Street, Payette, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811279268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P5339 (Idaho) | Primary |
| 183500000X | Pharmacist | RPH0009655 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Victoria L Wallace, PHARMD 2726 S Montauk Ave, Boise, ID 83709-3300 Ph: (208) 890-6988 | Dr Victoria L Wallace, PHARMD 405 S 8th Street, Payette, ID 83661 Ph: (208) 642-9331 |
Ms. Holly Anne Henggeler, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 405 S Main St, Payette, ID 83661 Phone: 208-642-9331 Fax: 208-642-1550 | |
Mr. Jack Arthur Helgeson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 405 S Main St, Payette, ID 83661 Phone: 208-642-9331 Fax: 208-642-1550 |