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Michael Shawn Wallace, PHARMACIST
Pharmacist in Tyler, Texas
NPI 1659031052

Michael Shawn Wallace is a Pharmacist based in Tyler, TX. Michael Shawn Wallace practices in Tyler, TX and has the professional credentials of PHARMACIST. The NPI Number for Michael Shawn Wallace is 1659031052 and holds a License No. 32751 (Texas).

The current practice location address for Michael Shawn Wallace is 4285 Chandler Hwy, Tyler, TX and can be reached out via phone at 903-630-9250.

Location: 4285 Chandler Hwy, Tyler, TX, 75702-7604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659031052
Provider Name
Michael Shawn Wallace
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
4285 Chandler Hwy, Tyler, TX, 75702-7604
Phone Number
903-630-9250
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
4285 Chandler Hwy
City
Tyler
State
Texas
Zip
75702-7604
Phone Number
903-630-9250
Fax Number
person
Provider Business Mailing Address Details
Address
4285 Chandler Hwy
City
Tyler
State
Texas
Zip
75702-7604
Phone Number
903-630-9250
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
32751 (Texas)
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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