NPI 1386353084

Sharold Neasha Wallace

Practitioner Pharmacy Technician Ferguson, MO

Practice location

Address: 190 N Florissant Rd, Ferguson, MO 63135-1942
Phone: (314) 521-4518

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 2001021627 (MO)

Other Pharmacy Technician providers in Missouri →

Registry record

NPI: 1386353084
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2022
Record last updated: 21 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.