MISS TERRICA DIANE WALLACE PHARMD.
NPI 1972995934
Pharmacist in Jacksonville, FL

Active since February 28, 2015
7546 103RD ST, JACKSONVILLE, FL 32210(904) 777-3050 Get Directions Write a Review

NPPES record last updated: February 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Terrica Diane Wallace Pharmd. NPPES

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

MISS TERRICA DIANE WALLACE PHARMD. (NPI 1972995934) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS52287) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1972995934
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMISS TERRICA DIANE WALLACECredential: PHARMD.
Location Address7546 103RD STJacksonville, FL 32210-6713
Mailing Address3928 Victoria Lakes Dr SJacksonville, FL 32226-0709
Sole ProprietorNo
Enumeration DateFebruary 28, 2015
NPI 1972995934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS52287
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.

7546 103RD ST, Jacksonville, FL 32210

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.

Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210
Pharmacy
7546 103RD ST
JACKSONVILLE, FL 32210
Pharmacist
7546 103RD ST
JACKSONVILLE, FL 32210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972995934, enumerated as an "individual" on February 28, 2015.

The provider is located at 7546 103RD ST JACKSONVILLE, FL 32210 and the phone number is (904) 777-3050.

Pharmacist with taxonomy code 183500000X.