Crystal Wallace

Pharmacist · Vineland, NJ

Individual Active NPI

NPI number 1467724674

Practice location

1070 W Landis Ave
Vineland, NJ 08360-3422
Phone
(856) 205-9354

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NPI record

NPI
1467724674
Entity type
Individual (Type 1)
Enumeration date
February 2, 2012
Last updated
February 2, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 28RI03230900 NJ

Mailing address

360 Cedarwood Dr
Vineland, NJ 08360-7710

About Crystal Wallace

Crystal Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1070 W Landis Ave, Vineland, NJ 08360-3422. The NPI number 1467724674 was assigned on February 2, 2012 and the record was last updated on February 2, 2012.

Crystal Wallace lists a license in the registry: #28RI03230900 (NJ) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Wallace?

The NPI number is 1467724674.

What is the phone number of Crystal Wallace?

The phone number listed for the practice location is (856) 205-9354.

Where is Crystal Wallace located?

1070 W Landis Ave, Vineland, NJ 08360-3422.

What is the taxonomy code for Crystal Wallace?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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