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CRYSTAL WALLACE
NPI 1467724674
Pharmacist in Vineland, NJ

Active since February 02, 2012
1070 W LANDIS AVE, VINELAND, NJ 08360(856) 205-9354 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Wallace NPPES

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

CRYSTAL WALLACE (NPI 1467724674) is an individual pharmacist in Vineland, New Jersey, licensed in New Jersey (28RI03230900) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1467724674
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCRYSTAL WALLACE
Location Address1070 W LANDIS AVEVineland, NJ 08360-3422
Mailing Address360 Cedarwood DrVineland, NJ 08360-7710
Phone(856) 205-9354
Sole ProprietorYes
Enumeration DateFebruary 2, 2012
✔ NPI 1467724674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NJ · 28RI03230900
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1070 W LANDIS AVE, Vineland, NJ 08360
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Other Providers at the Same Location NPPES 8

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

STEPHANIE GERVATO-FAUVER
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 205-9354
RONALD N KITTNER
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200
DIANNA L MCDONALD
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200
JANINE T THOMAS HAD
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200
REBECCA BONHAM
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200
DR. IGOR V PETRENKO PHARMD.
Pharmacist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 205-9354
MICHAEL A ROMANINI
Hearing Instrument Specialist
1070 W LANDIS AVE
VINELAND, NJ 08360
Cumberland County (856) 690-0200

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 Crystal Wallace's NPI number?

The NPI number for Crystal Wallace is 1467724674. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Where is Crystal Wallace located?

Crystal Wallace practices at 1070 W Landis Ave, Vineland, NJ 08360. The listed phone number is (856) 205-9354.

What is Crystal Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Crystal Wallace was last updated on February 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.