Individual provider · Type 1 NPI

Thaddaeus Wallace, PharmD

Oncology Pharmacist · Shreveport, LA

NPI number 1033069448 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0852 Map

Specialties and licenses

TaxonomyCodeLicense
Oncology Pharmacist Primary 1835X0200X018835 (LA)

Oncology Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.

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About NPI 1033069448

Thaddaeus Wallace, PharmD's National Provider Identifier is 1033069448, issued on Feb 3, 2026. The primary taxonomy on file is Oncology Pharmacist (1835X0200X), and the practice location is in Shreveport, LA. The record was last updated on Feb 3, 2026.