LARIQUE WALLACE

STAMFORD, CT
NPI1114592714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CT  PCT.0015392)
Enumeration Date2021-05-25
Last Update Date2021-05-26
Business Address
Dr. LARIQUE WALLACE PharmD
780 E MAIN ST
STAMFORD, CT 06902-3832
Phone number: 203-353-9117
Mailing Address
Dr. LARIQUE WALLACE PharmD
780 E MAIN ST
STAMFORD, CT 06902-3832
Phone number: 203-353-9117
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