Wallace, Stephanie

Wallace, Stephanie is an sole proprietor health care provider with primary practice located at 815 Cheyenne Meadows Rd , Colorado Springs CO 80906-4929. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is her primary health care specialty. Wallace, Stephanie can be contacted via phone (719) 527-1640.

Contact Information

Primary practice address
815 Cheyenne Meadows Rd Colorado Springs CO 80906-4929
Phone: (719) 527-1640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 058853 New York
Pharmacy Service Providers / Pharmacist 183500000X 33624 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X 0020679 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X 0020679 Colorado

Profile Details

NPI number 1477943223
LBN Legal business name Wallace, Stephanie
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2015
Last updated Oct 5th, 2020 - about 4 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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