Individual provider · Type 1 NPI

Michael Shawn Wallace, PHARMACIST

Pharmacist · Tyler, TX

NPI number 1659031052 Active

Practice location

4285 Chandler Hwy
Tyler, TX 75702-7604

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X32751 (TX)

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…

2 other providers at this address

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About NPI 1659031052

Michael Shawn Wallace, PHARMACIST's National Provider Identifier is 1659031052, issued on Dec 27, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Dec 27, 2021.