Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jean Harty Wallace, RPH

Individual provider Pharmacist · NPI 1992282032

Jean Harty Wallace, RPH is a Pharmacist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

11420 Lackland Rd
Saint Louis, MO 63146-3559
Phone: (314) 994-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2001004309 (MO)

Record details

NPI number1992282032
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 22, 2018
Last updated in NPPESJuly 22, 2018

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