Kennis Hal Wallace Jr, RPH | |
303 S Commercial St, Parker Plaza, Harrisburg, IL 62946-2125 | |
(618) 253-7621 | |
(618) 252-7455 |
Full Name | Kennis Hal Wallace Jr |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 303 S Commercial St, Harrisburg, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811981939 | NPI | - | NPPES |
370921467001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kennis Hal Wallace Jr, RPH 303 S Commercial St, Parker Plaza, Harrisburg, IL 62946-2125 Ph: (618) 253-7621 | Kennis Hal Wallace Jr, RPH 303 S Commercial St, Parker Plaza, Harrisburg, IL 62946-2125 Ph: (618) 253-7621 |
Mindi Abney, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 890 Sally Holler Rd, Harrisburg, IL 62946 Phone: 618-926-4415 | |
Dr. Kathryn Paige Robinson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 601 N Commercial St, Harrisburg, IL 62946 Phone: 618-252-8691 | |
Timothy Etienne, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 304 S Commercial St, Harrisburg, IL 62946 Phone: 618-252-5349 Fax: 618-252-1395 | |
Kenley June Masterson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 710 S Commercial St, Harrisburg, IL 62946 Phone: 618-252-3059 | |
Arnold E Ramage, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4 S Commercial St, Harrisburg, IL 62946 Phone: 618-252-0134 | |
Angelia Leigh Ayresbennett, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 601 N Commercial St, Harrisburg, IL 62946 Phone: 618-252-8691 | |
Mr. Stephen L Ledbetter, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 304 S Commercial St, Harrisburg, IL 62946 Phone: 618-252-5349 Fax: 618-252-1395 |