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Mr. Dustin L Wallace, CPHT
Pharmacy Technician in Jacksonville, Florida
NPI 1326639006

Dustin L Wallace is a Pharmacy Technician based in Jacksonville, FL. Dustin L Wallace practices in Jacksonville, FL and has the professional credentials of CPHT. The NPI Number for Dustin L Wallace is 1326639006 and holds a License No. RPT57955 (Florida).

The current practice location address for Dustin L Wallace is 2 Shircliff Way Ste 900, Jacksonville, FL and can be reached out via phone at 904-389-9744. You can also correspond with Dustin L Wallace through the mailing address at 2952 ROSSELLE ST, JACKSONVILLE, FL - 32205-5666 (mailing address contact number: 615-310-1217).

Location: 2 Shircliff Way Ste 900, Jacksonville, FL, 32205-5666
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Provider Profile Details
NPI Number
1326639006
Provider Name
Dustin L Wallace
Credential
CPHT
Provider Entity Type
Individual
Gender
Male
Address
2 Shircliff Way Ste 900, Jacksonville, FL, 32205-5666
Phone Number
904-389-9744
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RPT57955 01 FL PHARMACY TECH
institution
Provider Business Practice Location Address Details
Address
2 Shircliff Way Ste 900
City
State
Zip
32204-4753
Phone Number
904-389-9744
Fax Number
person
Provider Business Mailing Address Details
Address
2 Shircliff Way Ste 900
City
State
Zip
32204-4753
Phone Number
904-389-9744
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
License No.
RPT57955 (Florida)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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