ROBERT WALLACE

LITCHFIELD PARK, AZ
NPI1750443024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  INTERN -- 6699)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
Mr. ROBERT WALLACE
12421 W DENTON AVE
LITCHFIELD PARK, AZ 85340-3435
Phone number: 623-535-9788
Mailing Address
Mr. ROBERT WALLACE
12421 W DENTON AVE
LITCHFIELD PARK, AZ 85340-3435
Phone number:
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