Sharold Neasha Wallace

NPI #1386353084 in Ferguson, Missouri

Provider Information

NPI Number
1386353084
Entity Type
Individual
Name
Sharold Neasha Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy Technician
Enumeration Date
Nov 21, 2022
Last Updated
Nov 21, 2022

Practice Location

Address
190 N FLORISSANT RD
ZIP Code
63135-1942
Phone
(314) 521-4518

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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