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

Mrs. Donna C. Wallace, PHARMD

Individual provider Ambulatory Care Pharmacist · NPI 1164938130

Mrs. Donna C. Wallace, PHARMD is an Ambulatory Care Pharmacist in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1817 NW 127th Ave
Pembroke Pines, FL 33028-2567
Phone: (954) 325-1495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS30769 (FL)
Ambulatory Care Pharmacist Taxonomy 1835P2201X · Licence PU4665 (FL)

Record details

NPI number1164938130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 28, 2017
Mailing address1817 Nw 127th Ave, Pembroke Pines, FL 33028-2567

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