Wallace Pharmacy Inc
Wallace Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Aberdeen, ID, holding Type 2 (organization) NPI 1710038716 since 2007. The authorized official on file is Dwight Wallace, Ceo/Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710038716 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wallace Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 44 S MAIN, Aberdeen, ID, 83210 |
| Phone | 2083974540 |
| Fax | 2083975215 |
| Enumeration date | 2007-01-16 |
| Last updated in NPPES | 2017-03-10 |
Authorized official
| Name | Dwight Wallace |
|---|---|
| Title | Ceo/Pic |
| Phone | 2083974540 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 1129RP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2349700 | Medicaid | ID | — |
| 2019739 | Other | — | PK |
Copy-ready billing details
Provider: Wallace Pharmacy Inc NPI: 1710038716 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 44 S MAIN, Aberdeen, ID, 83210
Verify this record
Cross-check NPI 1710038716 against the authoritative CMS record: view Wallace Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Wallace Pharmacy Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-10.