Wallace, Bob
Wallace, Bob is an sole proprietor health care provider with primary practice located at 22150 Westheimer Pkwy , Katy TX 77450-8296. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Wallace, Bob can be contacted via phone (281) 828-8778.Contact Information
Primary practice address
22150 Westheimer Pkwy
Katy TX 77450-8296
Phone: (281) 828-8778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 30292 | Texas |
Profile Details
| NPI number | 1164055604 |
|---|---|
| LBN Legal business name | Wallace, Bob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2020 |
| Last updated | Feb 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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