IndividualActive
Keith Wallace, RPH
NPI 1932483203 · Pharmacotherapy Pharmacist · Millville, NJ
Provider details
- NPI number
- 1932483203
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 28RI01730800 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1111 N High St
Millville, NJ 08332-2528
Phone: (856) 293-9717
Fax: (856) 293-7980
Approximate (ZIP-level) locationGet directions
Mailing address
1111 N High St
Millville, NJ 08332-2528
Registry dates
- Enumerated
- 2011-10-05
- Last updated
- 2011-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.