What is Mark Wallace's NPI number?

Mark Wallace's National Provider Identifier (NPI) is 1205110434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Wallace's specialty?

Mark Wallace is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Mark Wallace located?

Mark Wallace's practice location on file with NPPES is 301 S Sante Fe Ave, Edmond, OK 73003.

What is Mark Wallace's phone number?

The practice phone number listed in the NPPES registry for Mark Wallace is (405) 330-6093.

Is Mark Wallace's NPI active?

Yes — Mark Wallace's NPI (1205110434) is active in the NPPES registry as of the last update on 2011-10-06.

IndividualActive

Mark Wallace, DOCTOR OF PHARMACY

NPI 1205110434 · Pharmacist · Edmond, OK

Mark Wallace, DOCTOR OF PHARMACY is a Pharmacist provider in Edmond, OK (NPI 1205110434).

Provider details

NPI number: 1205110434
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: DOCTOR OF PHARMACY
Sex: Male
Sole proprietor: No
License: 11913 (OK)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 11913 (OK)
Pharmacy Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

301 S Sante Fe Ave

Edmond, OK 73003

Phone: (405) 330-6093

Fax: (405) 330-6153

Street-level locationGet directions

More OK providers

Mailing address