Individual provider · Type 1 NPI

Nicole Wallace

Pharmacy Technician · Chicago, IL

NPI number 1285507301 Active

Practice location

675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969

Call (312) 926-2749 Map

Fax (312) 694-6830

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X049290929 (IL)

Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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About NPI 1285507301

Nicole Wallace's National Provider Identifier is 1285507301, issued on Sep 25, 2025. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Chicago, IL. The record was last updated on Sep 25, 2025.