Individual provider · Type 1 NPI

Jacob Michael Walls, PharmD

Pharmacist · Palm Bay, FL

NPI number 1902386865 Active

Practice location

1040 Malabar Rd SE
Palm Bay, FL 32907-3251

Call (321) 723-2101 Map

Mailing address

6020 Flamingo Ave
Cocoa, FL 32927-8125

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS56565 (FL)

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 1902386865

Jacob Michael Walls, PharmD's National Provider Identifier is 1902386865, issued on Aug 20, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Palm Bay, FL. The record was last updated on Aug 20, 2018.