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MR. MARK JAMES WALLACE DOCTOR OF PHARMACY
NPI 1205110434
Pharmacist in Edmond, OK

Active since October 06, 2011
301 S SANTE FE AVE, EDMOND, OK 73003(405) 330-6093(405) 330-6153 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark James Wallace Doctor Of Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK JAMES WALLACE DOCTOR OF PHARMACY (NPI 1205110434) is an individual pharmacist in Edmond, Oklahoma, licensed in Oklahoma (11913) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1205110434
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. MARK JAMES WALLACECredential: DOCTOR OF PHARMACY
Location Address301 S SANTE FE AVEEdmond, OK 73003
Mailing Address301 S Sante Fe AveEdmond, OK 73003 · (405) 330-6093 · Fax (405) 330-6153
Phone(405) 330-6093
Fax(405) 330-6153
Sole ProprietorNo
Enumeration DateOctober 6, 2011
✔ NPI 1205110434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OK · 11913
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
301 S SANTE FE AVE, Edmond, OK 73003
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH ANN WSSMANN PHARMD
Pharmacist
301 S SANTE FE AVE
EDMOND, OK 73003
Oklahoma County (405) 330-6093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1205110434. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Mark Wallace located?

Mark Wallace practices at 301 S Sante Fe Ave, Edmond, OK 73003. The listed phone number is (405) 330-6093.

What is Mark Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.