Individual provider · Type 1 NPI

Terrica Diane Wallace, PHARMD.

Pharmacist · Jacksonville, FL

NPI number 1972995934 Active

Practice location

7546 103rd St
Jacksonville, FL 32210-6713

Mailing address

3928 Victoria Lakes Dr S
Jacksonville, FL 32226-0709

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS52287 (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 1972995934

Terrica Diane Wallace, PHARMD.'s National Provider Identifier is 1972995934, issued on Feb 28, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 28, 2015.