NPI 1629076385 · live from the CMS NPI Registry
Wallene Z Bullard, PharmD, BCPS
Pharmacist, Pharmacotherapy in Washington, DC. National Provider Identifier 1629076385, active.
NPI record
| NPI | 1629076385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist, Pharmacotherapy 1835P1200X |
| Practice location | 750 1st St Ne, Washington, DC 20002 |
| Practice phone | 202-427-3010 |
| Mailing address | Po Box 953, Randallstown, MD 21133 |
| Enumerated | July 7, 2005 |
| Last updated | February 28, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist, Pharmacotherapy | 1835P1200X | 16065 (MD) |
| Pharmacist, Pharmacotherapy | 1835P1200X | 12574 (NV) |
| Pharmacist, Pharmacotherapy | 1835P1200X | 47645 (CA) |
| Pharmacist, Pharmacotherapy primary | 1835P1200X | PH100000175 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.