Individual provider · Type 1 NPI

Crystal Wallace

Pharmacist · Vineland, NJ

NPI number 1467724674 Active

Practice location

1070 W Landis Ave
Vineland, NJ 08360-3422

Call (856) 205-9354 Map

Mailing address

360 Cedarwood Dr
Vineland, NJ 08360-7710

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X28RI03230900 (NJ)

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 1467724674

Crystal Wallace's National Provider Identifier is 1467724674, issued on Feb 2, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vineland, NJ. The record was last updated on Feb 2, 2012.