VICKIE E WALLACE

PORT ORANGE, FL
NPI1942577127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps29744)
Enumeration Date2011-11-16
Last Update Date2011-11-16
Business Address
-- VICKIE E WALLACE
1650 DUNLAWTON AVE
PORT ORANGE, FL 32127-4754
Phone number: 386-322-3267
Mailing Address
-- VICKIE E WALLACE
1650 DUNLAWTON AVE
PORT ORANGE, FL 32127-4754
Phone number: 386-322-3267
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