| Keith Alan Wallace, BS PHARM | |
|
11643 Lilburn Park Rd, Saint Louis, MO 63146-3535 | |
| (314) 995-6843 | |
| (888) 916-0877 |
| Full Name | Keith Alan Wallace |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 11643 Lilburn Park Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750408795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 2001019315 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Alan Wallace, BS PHARM 5 Woodland Ridge Ct, Saint Peters, MO 63376-1788 Ph: (636) 240-0665 | Keith Alan Wallace, BS PHARM 11643 Lilburn Park Rd, Saint Louis, MO 63146-3535 Ph: (314) 995-6843 |
Dr. Pat S Rafferty, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4588 Parkview Pl, St. Louis College Of Pharmacy, Saint Louis, MO 63110 Phone: 314-446-8538 Fax: 314-446-8386 | |
Dr. Tomislav Tom Matijasec, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 9634 Casa Rosa Dr, Saint Louis, MO 63123 Phone: 314-302-4659 | |
James Blazier, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1884 Lackland Hill Pkwy Ste 6, Saint Louis, MO 63146 Phone: 314-344-9094 Fax: 314-344-9097 | |
Dr. David M Tackitt, PHARM. D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3925 Lindell Blvd, Saint Louis, MO 63108 Phone: 314-534-3853 | |
Dr. Valarie A Hemker, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2315 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-773-2767 Fax: 314-773-4917 | |
Dr. Alan Poi Mak, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3300 Brown Rd, Saint Louis, MO 63114 Phone: 314-427-6221 Fax: 314-427-4503 | |
Minh-tram Nguyen Trinh, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7339 Gravois Ave, Saint Louis, MO 63116 Phone: 314-752-0722 |