CORY WALLACE PHARMD
NPI 1972103745
Pharmacist in Broken Arrow, OK
About Cory Wallace Pharmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY WALLACE PHARMD (NPI 1972103745) is an individual pharmacist in Broken Arrow, Oklahoma, licensed in Oklahoma (14955) and active in the NPI registry since October 2020.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
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 Cory Wallace's NPI number?
The NPI number for Cory Wallace is 1972103745. It was assigned to this individual provider in the NPPES registry on October 29, 2020.
Where is Cory Wallace located?
Cory Wallace practices at 2301 W Kenosha St, Broken Arrow, OK 74012. The listed phone number is (918) 259-9136.
What is Cory 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 Cory Wallace was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.