Thaddaeus Wallace, PHARMD
NPI #1033069448 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1033069448
- Entity Type
- Individual
- Name
- Thaddaeus Wallace, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Oncology
- Credential
- PHARMD
- Enumeration Date
- Feb 3, 2026
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 1501 KINGS HWY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4228
- Phone
- (318) 626-0852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Oncology — Oncology |
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