Wallace, Jay William

Wallace, Jay William is an individual health care provider with primary practice located at 1616 Physicians Dr , Tallahassee FL 32308-4619. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Wallace, Jay William can be contacted via phone (850) 431-5154.

Contact Information

Primary practice address
1616 Physicians Dr Tallahassee FL 32308-4619
Phone: (850) 431-5154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X PS28349 Florida

Profile Details

NPI number 1659742716
LBN Legal business name Wallace, Jay William
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2015
Last updated Oct 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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