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1669960795
ANDREW WALLACE
BIRMINGHAM, AL
NPI
1669960795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 19116)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
Dr. ANDREW WALLACE PharmD, RPh
413 19TH STREET ENSLEY
BIRMINGHAM, AL 35218-1601
Phone number: 205-787-4671
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Mailing Address
Dr. ANDREW WALLACE PharmD, RPh
1440 OAKRIDGE DR
BIRMINGHAM, AL 35242-3522
Phone number: 205-413-2297
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