IndividualActive
Richard Wallace, PHARMD
NPI 1154678332 · Pharmacist · Usaf Academy, CO
Richard Wallace, PHARMD is a Pharmacist provider in Usaf Academy, CO (NPI 1154678332).
Provider details
- NPI number
- 1154678332
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH04611 (RI)
Practice location
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone: (401) 741-6547
Street-level locationGet directions
Mailing address
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.