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1316547342
THOMAS E WALLACE
STATEN ISLAND, NY
NPI
1316547342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CT PCT.0015303)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
Dr. THOMAS E WALLACE PharmD
1571 FOREST AVE
STATEN ISLAND, NY 10302-2226
Phone number: 718-720-5604
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Mailing Address
Dr. THOMAS E WALLACE PharmD
616 BEMENT AVE
STATEN ISLAND, NY 10310-2938
Phone number: 917-932-4257
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