Individual provider · Type 1 NPI

Jacqueline Wallace

Pharmacist · Windsor, CO

NPI number 1518200740 Active

Practice location

1520 Main St
Windsor, CO 80550-7909

Call (970) 674-2840 Map

Fax (970) 674-2843

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15631 (CO)

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 1518200740

Jacqueline Wallace's National Provider Identifier is 1518200740, issued on Apr 6, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Windsor, CO. The record was last updated on Apr 6, 2013.