Stephanie Wallace, PHARMD is a
Pharmacy - Community/retail Pharmacy based in Colorado Springs, Colorado. Stephanie Wallace is licensed to practice in Colorado (license number 0020679) and her current practice location is
815 Cheyenne Meadows Rd, Colorado Springs, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 527-1640.
NPI number for Stephanie Wallace is 1477943223 and her current mailing address is 815 Cheyenne Meadows Rd, Colorado Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477943223.
Healthcare Provider's Profile
Full Name | Stephanie Wallace |
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Gender | Female |
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Speciality | Pharmacy - Community/retail Pharmacy |
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Location | 815 Cheyenne Meadows Rd, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477943223
- Provider Enumeration Date: 02/02/2015
- Last Update Date: 10/05/2020
Medical Identifiers
Medical identifiers for Stephanie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477943223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 058853 (New York) | Secondary |
183500000X | Pharmacist | 33624 (Tennessee) | Secondary |
183500000X | Pharmacist | 0020679 (Colorado) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | 0020679 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Wallace, PHARMD 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 Ph: (719) 527-1640 | Stephanie Wallace, PHARMD 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 Ph: (719) 527-1640 |
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