CHAD A WALLACE

DUNBAR, WV
NPI1750484952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WV  RP0005705)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
-- CHAD A WALLACE R.Ph.
208 ROXALANA BUSINESS PARK
DUNBAR, WV 25064-2727
Phone number: 304-720-6970
Mailing Address
-- CHAD A WALLACE R.Ph.
112 MULBERRY DR
HURRICANE, WV 25526-8925
Phone number: 304-562-1821