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1669794764
PAUL JOHN WALLACE
MONROE, NC
NPI
1669794764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 15840)
Enumeration Date
2010-02-17
Last Update Date
2010-02-17
Business Address
-- PAUL JOHN WALLACE RPH
1993 DICKERSON BLVD
MONROE, NC 28110-2795
Phone number: 704-296-5080
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Mailing Address
-- PAUL JOHN WALLACE RPH
6214 PUMPERNICKEL LN
MONROE, NC 28110-8639
Phone number: 704-291-7805
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