Wallace, R Scott

Wallace, R Scott is an individual health care provider with primary practice located at 19 Dodge St , Beverly MA 01915-1705. He 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 his primary health care specialty. Wallace, R Scott can be contacted via phone (978) 927-0060.

Contact Information

Primary practice address
19 Dodge St Beverly MA 01915-1705
Phone: (978) 927-0060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH22516 Massachusetts
Pharmacy Service Providers / Pharmacist 183500000X PH22516 Massachusetts

Profile Details

NPI number 1245834175
LBN Legal business name Wallace, R Scott
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2020
Last updated Nov 22nd, 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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