Individual provider · Type 1 NPI

Jessica Wallace

Pharmacist · Washington, DC

NPI number 1245577907 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Call (202) 476-8586 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH026896 (GA)
Pharmacist Primary 183500000XPH100002131 (DC)

Pharmacist: 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…

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About NPI 1245577907

Jessica Wallace's National Provider Identifier is 1245577907, issued on Jan 14, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Washington, DC. The record was last updated on Jun 15, 2021.