Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Wallace

Individual provider Pharmacist · NPI 1518569110

Paul Wallace is a Pharmacist in Warr Acres, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2020
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Practice location Address checks out

64374 N Macarthur Blvd
Warr Acres, OK 73132
Phone: (405) 495-1040
Fax: (405) 495-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17661 (OK)

Record details

NPI number1518569110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 7, 2020

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