Wallace, Jennifer
Wallace, Jennifer is an individual health care provider with primary practice located at 4425 Commons Dr E , Destin FL 32541-3414. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wallace, Jennifer can be contacted via phone (850) 837-7133.Contact Information
Primary practice address
4425 Commons Dr E
Destin FL 32541-3414
Phone: (850) 837-7133
Fax: (850) 654-8959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS47356 | Florida |
Profile Details
| NPI number | 1225375173 |
|---|---|
| LBN Legal business name | Wallace, Jennifer |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2013 |
| Last updated | Jan 12th, 2013 - about 11 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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