KRISTIE JACKSON WALLACE

ST PETERSBURG, FL
NPI1154324861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: FL  PS27159)
Enumeration Date2005-05-27
Last Update Date2007-07-08
Business Address
Dr. KRISTIE JACKSON WALLACE PharmD
499 LAGUNA DR
ST PETERSBURG, FL 33715-1842
Phone number: 727-542-1340
Mailing Address
Dr. KRISTIE JACKSON WALLACE PharmD
585 CAPRI BLVD
TREASURE ISLAND, FL 33706-2943
Phone number: 727-363-4135
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