Individual provider · Type 1 NPI

Thomas E. Wallace Iii, PharmD

Pharmacist · Staten Island, NY

NPI number 1316547342 Active

Practice location

1571 Forest Ave
Staten Island, NY 10302-2226

Call (718) 720-5604 Map

Mailing address

616 Bement Ave
Staten Island, NY 10310-2938

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PCT.0015303 (CT)

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…

4 other providers at this address

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About NPI 1316547342

Thomas E. Wallace Iii, PharmD's National Provider Identifier is 1316547342, issued on Oct 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 28, 2020.