Wallace, Donna C.

Wallace, Donna C. is an sole proprietor health care provider with primary practice located at 1817 Nw 127Th Ave , Pembroke Pines FL 33028-2567. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Wallace, Donna C. can be contacted via phone (954) 325-1495.

Contact Information

Primary practice address
1817 Nw 127Th Ave Pembroke Pines FL 33028-2567
Phone: (954) 325-1495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PU4665 Florida
Pharmacy Service Providers / Pharmacist 183500000X PS30769 Florida

Profile Details

NPI number 1164938130
LBN Legal business name Wallace, Donna C.
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2017
Last updated Dec 28th, 2017 - about 8 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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