JOHN MARK WALLACE

SALT LAKE CITY, UT
NPI1154356467
Other NameJ. MARK WALLACE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  3169351701)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Mr. JOHN MARK WALLACE R.Ph.
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Mr. JOHN MARK WALLACE R.Ph.
1422 E 9090 S
SANDY, UT 84093-2203
Phone number: 801-582-1565
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