Kennis Hal Wallace Jr. is a pharmacist in Harrisburg, Illinois. Patients can reach him at 303 S Commercial St, Parker Plaza, Harrisburg or contact him on 618-253-7621. Kennis Hal Wallace Jr. is 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.
Complete Profile:
Kennis Hal Wallace Jr. speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Kennis Hal Wallace Jr.
Specialization:
Pharmacist
Credentials:
RPH
Gender:
Male
Location:
303 S Commercial St, Parker Plaza, Harrisburg, Illinois, 62946-2125
Phone:
618-253-7621
Fax:
618-252-7455
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Kennis Hal Wallace Jr. are as mentioned below.
NPI Number:
1811981939
NPI Enumeration Date:
02 Sep, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kennis Hal Wallace Jr. are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kennis Hal Wallace Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
370921467001
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
303 S Commercial St, Parker Plaza Harrisburg, Illinois
Zip:
62946-2125
Phone Number:
618-253-7621
Fax Number:
618-252-7455
Patients can reach Kennis Hal Wallace Jr. at 303 S Commercial St, Parker Plaza, Harrisburg, Illinois or can call on phone at 618-253-7621.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Other Pharmacists in Harrisburg, Illinois
Mindi Abney, RPH 890 Sally Holler Rd, Harrisburg, IL 618-926-4415