Individual provider · Type 1 NPI

Dustin L. Wallace, CPHT

Pharmacy Technician · Jacksonville, FL

NPI number 1326639006 Active

Practice location

2 Shircliff Way Ste 900
Jacksonville, FL 32204-4753

Call (904) 389-9744 Map

Mailing address

2952 Rosselle St
Jacksonville, FL 32205-5666

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000XRPT57955 (FL)

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 1326639006

Dustin L. Wallace, CPHT's National Provider Identifier is 1326639006, issued on Jan 27, 2021. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 27, 2021.