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1881796514
WALLACE WICKE
MEMPHIS, TN
NPI
1881796514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: MO 028013)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
Dr. WALLACE WICKE Pharm.D.
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Dr. WALLACE WICKE Pharm.D.
2592 ROSEHAVEN ST
GERMANTOWN, TN 38138-5737
Phone number: 901-289-3609
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