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Dr. Jacob Tyler Wallace, PHARMD
Pharmacist in Shelby, North Carolina
NPI 1427338169

Jacob Tyler Wallace is a Pharmacist based in Shelby, NC. Jacob Tyler Wallace practices in Shelby, NC and has the professional credentials of PHARMD. The NPI Number for Jacob Tyler Wallace is 1427338169 and holds a License No. 21863 (North Carolina).

The current practice location address for Jacob Tyler Wallace is 201 W Marion St Ste 100, Shelby, NC and can be reached out via phone at 980-552-4402 and via fax at 704-831-8118.

Location: 201 W Marion St Ste 100, Shelby, NC, 28150-5094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427338169
Provider Name
Jacob Tyler Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
201 W Marion St Ste 100, Shelby, NC, 28150-5094
Phone Number
980-552-4402
Fax Number
704-831-8118
Provider Enumeration Date
08/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W Marion St Ste 100
City
Shelby
State
North Carolina
Zip
28150-5094
Phone Number
980-552-4402
Fax Number
704-831-8118
person
Provider Business Mailing Address Details
Address
201 W Marion St Ste 100
City
Shelby
State
North Carolina
Zip
28150-5094
Phone Number
980-552-4402
Fax Number
704-831-8118
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
21863 (North Carolina)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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