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1629054598
PAUL WAYNE WALLACE
TACOMA, WA
NPI
1629054598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00050858)
Enumeration Date
2005-12-21
Last Update Date
2007-07-08
Business Address
Dr. PAUL WAYNE WALLACE PharmD
315 MLK WAY
TACOMA, WA 98405
Phone number: 253-403-3229
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Mailing Address
Dr. PAUL WAYNE WALLACE PharmD
2406 N 31ST ST
TACOMA, WA 98407-6443
Phone number: 253-752-2532
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