TAKOVA WALLACE

MONTGOMERY, AL
NPI1851707889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AL  17723)
Enumeration Date2014-07-10
Last Update Date2014-07-10
Business Address
Dr. TAKOVA WALLACE PharmD
215 PERRY HILL RD
MONTGOMERY, AL 36109-3725
Phone number: 334-272-4670
Mailing Address
Dr. TAKOVA WALLACE PharmD
160 STONE PARK BLVD APT 2313
PIKE ROAD, AL 36064-3023
Phone number: 256-322-0820