Individual provider · Type 1 NPI

Melissa Wallace, PharmD

Pharmacist · San Diego, CA

NPI number 1871849968 Active

Practice location

4029 43rd St Ste 700
San Diego, CA 92105-8538

Mailing address

3054 Nile St
San Diego, CA 92104-4810

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X66906 (CA)

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 1871849968

Melissa Wallace, PharmD's National Provider Identifier is 1871849968, issued on Jul 26, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Diego, CA. The record was last updated on Jul 26, 2012.