THADDAEUS WALLACE

SHREVEPORT, LA
NPI1033069448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835X0200X Pharmacist, Oncology
(Licence: LA  018835)
Enumeration Date2026-02-03
Last Update Date2026-02-03
Business Address
THADDAEUS WALLACE PharmD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0852
Mailing Address
THADDAEUS WALLACE PharmD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0852
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