| Spencer Allen Wallace, | |
|
1599 J St, Grand Forks Afb, ND 58205-6306 | |
| (701) 747-5382 | |
| Not Available |
| Full Name | Spencer Allen Wallace |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1599 J St, Grand Forks Afb, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841837309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 18471 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Allen Wallace, 1052 Fir Ave, Grand Forks Afb, ND 58204-1299 Ph: (801) 560-4315 | Spencer Allen Wallace, 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-5382 |
Rachel Elizabeth Stevens, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-5382 | |
Heather A Ray, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-5075 | |
Dr. Doreen Marie Hinsz, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-5382 |