OrganizationActive
Wallace Pharmacy Inc
NPI 1710038716 · Community/Retail Pharmacy · Aberdeen, ID
Wallace Pharmacy Inc is a Community/Retail Pharmacy organization in Aberdeen, ID (NPI 1710038716).
Provider details
- NPI number
- 1710038716
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dwight Wallace, Ceo/Pic(208) 397-4540
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
44 S Main
Aberdeen, ID 83210-0841
Phone: (208) 397-4540
Fax: (208) 397-5215
Street-level locationGet directions
Mailing address
44 S Main
Aberdeen, ID 83210-0841
Other names (DBA / former)
- Doing business as
- Wallace Drug
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2017-03-10
Frequently asked questions
- What is Wallace Pharmacy Inc's NPI number?
- Wallace Pharmacy Inc's National Provider Identifier (NPI) is 1710038716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Pharmacy Inc?
- Wallace Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wallace Pharmacy Inc located?
- Wallace Pharmacy Inc's practice location on file with NPPES is 44 S Main, Aberdeen, ID 83210-0841.
- What is Wallace Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Wallace Pharmacy Inc is (208) 397-4540.
- Who is the authorized official for Wallace Pharmacy Inc?
- The authorized official listed on Wallace Pharmacy Inc's NPPES record is Dwight Wallace, Ceo/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Pharmacy Inc's NPI active?
- Yes — Wallace Pharmacy Inc's NPI (1710038716) is active in the NPPES registry as of the last update on 2017-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.