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1710910617
SANDRA MARIE WALLACE
LOUISVILLE, KY
NPI
1710910617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 012689)
Enumeration Date
2006-07-07
Last Update Date
2007-09-04
Business Address
Dr. SANDRA MARIE WALLACE Pharm.D.
4501 OUTER LOOP
LOUISVILLE, KY 40219-3856
Phone number: 502-969-2837
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Mailing Address
Dr. SANDRA MARIE WALLACE Pharm.D.
205 TERRY DR
SHEPHERDSVILLE, KY 40165-7814
Phone number: 502-543-9089
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