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MR. DUSTIN L WALLACE CPHT
NPI 1326639006
Pharmacy Technician in Jacksonville, FL

Active since January 27, 2021
2 SHIRCLIFF WAY STE 900, JACKSONVILLE, FL 32204(904) 389-9744 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dustin L Wallace Cpht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DUSTIN L WALLACE CPHT (NPI 1326639006) is an individual pharmacy technician in Jacksonville, Florida, licensed in Florida (RPT57955) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1326639006
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameMR. DUSTIN L WALLACECredential: CPHT
Location Address2 SHIRCLIFF WAY STE 900Jacksonville, FL 32204-4753
Mailing Address2952 Rosselle StJacksonville, FL 32205-5666 · (615) 310-1217 · Fax (888) 974-6157
Phone(904) 389-9744
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1326639006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in FL · RPT57955
Definition

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.

2 SHIRCLIFF WAY STE 900, Jacksonville, FL 32204
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Other Identifiers 1

OtherRPT57955FL · Pharmacy Tech

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA THERESA RICHO ARNP
Nurse Practitioner (Family)
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (877) 259-8727
SHARON DENISE REILEY NP
Nurse Practitioner (Family)
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (904) 381-9651
DR. ELIZABETH SUTTON SPILLANE PHARM.D.
Pharmacist
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (904) 389-9744
DR. ALEX J. BELL SR. PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (904) 389-9744
PHARMACY4HUMANITY
Pharmacy (Community/Retail Pharmacy)
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (904) 389-9744
DR. DOROTHY MARQUITA YOLANDA RUSS M.D.
Family Medicine
2 SHIRCLIFF WAY STE 900
JACKSONVILLE, FL 32204
Duval County (904) 381-9651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Wallace's NPI number?

The NPI number for Dustin Wallace is 1326639006. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Dustin Wallace located?

Dustin Wallace practices at 2 Shircliff Way Ste 900, Jacksonville, FL 32204. The listed phone number is (904) 389-9744.

What is Dustin Wallace's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Dustin Wallace was last updated on January 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.