JACOB TYLER WALLACE

SHELBY, NC
NPI1427338169
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NC  21863)
Enumeration Date2011-08-25
Last Update Date2023-02-02
Business Address
Dr. JACOB TYLER WALLACE PharmD
201 W MARION ST STE 100
SHELBY, NC 28150-5094
Phone number: 980-552-4402
Mailing Address
Dr. JACOB TYLER WALLACE PharmD
201 W MARION ST STE 100
SHELBY, NC 28150-5094
Phone number: 980-552-4402
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