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1851707889
TAKOVA WALLACE
MONTGOMERY, AL
NPI
1851707889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 17723)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
Dr. TAKOVA WALLACE PharmD
215 PERRY HILL RD
MONTGOMERY, AL 36109-3725
Phone number: 334-272-4670
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Mailing Address
Dr. TAKOVA WALLACE PharmD
160 STONE PARK BLVD APT 2313
PIKE ROAD, AL 36064-3023
Phone number: 256-322-0820
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