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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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