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1164055604
BOB WALLACE
KATY, TX
NPI
1164055604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX 30292)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
BOB WALLACE
22150 WESTHEIMER PKWY
KATY, TX 77450-8296
Phone number: 281-828-8778
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Mailing Address
BOB WALLACE
22150 WESTHEIMER PKWY
KATY, TX 77450-8296
Phone number: 281-828-8778
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