Active NPIIndividual provider

Dr. Antoinette D Wallace, PHARMD

Pharmacist in Somerset, New Jersey

NPI Number1831793694
Practice location
150 Pierce St, Somerset, NJ 08873-4185
Fax
—
Last updated
November 23, 2020

Antoinette Dolores Wallace is a Pharmacist based in Somerset, NJ. Antoinette Dolores Wallace practices in Somerset, NJ and has the professional credentials of PHARMD. The NPI Number for Antoinette Dolores Wallace is 1831793694 and holds a License No. 28RI03484900 (NJ). The current practice location address for Antoinette Dolores Wallace is 150 Pierce St, Somerset, NJ 08873-4185 and can be reached out via phone at 888-319-1818.

Provider Profile Details

NPI Number
1831793694
Provider Name
Antoinette Dolores Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
150 Pierce St, Somerset, NJ 08873-4185
Phone Number
888-319-1818
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2020
Last Update Date
November 23, 2020
Certification Date
November 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Pierce St
Somerset, NJ 08873-4185
Zip
08873-4185
Phone Number
888-319-1818
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
1431 Barnhardt Ln
Rahway, NJ 07065-5084
City
Rahway
State
NJ
Zip
07065-5084
Phone Number
917-345-5992

License Information

License Number
28RI03484900
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Antoinette D Wallace, PHARMD?

The NPI number of Dr. Antoinette D Wallace, PHARMD is 1831793694. It was assigned on November 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Antoinette D Wallace, PHARMD?

Dr. Antoinette D Wallace, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03484900.

Where does Dr. Antoinette D Wallace, PHARMD practice?

The practice location is 150 Pierce St, Somerset, NJ 08873-4185. The office can be reached at 888-319-1818 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831793694 directly on the NPPES registry website.

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