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

Mr. Dustin L Wallace, CPHT

Individual provider Pharmacy Technician · NPI 1326639006

Mr. Dustin L Wallace, CPHT is a Pharmacy Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

2 Shircliff Way Ste 900
Jacksonville, FL 32204-4753
Phone: (904) 389-9744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence RPT57955 (FL)

Record details

NPI number1326639006
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHT
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

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