National Provider Identifier Database

SHAROLD N WALLACE
Pharmacy Technician

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.


Contact Information

SHAROLD N WALLACE
190 N FLORISSANT RD
FERGUSON, MO63135-1942
Phone: 314-521-4518
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy Technician 183700000X

* Indicates primary specialty

NPI Profile & details for SHAROLD N WALLACE

NPI Number 1386353084
Credentials
Entity Individual
Enumeration date 11/21/2022
Last updated 11/21/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 2001021627
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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