Sharold Neasha Wallace
Sharold Neasha Wallace is a Pharmacy Technician in Ferguson, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
190 N Florissant RdFerguson, MO 63135-1942
Phone: (314) 521-4518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 2001021627 (MO) |
|---|
Record details
| NPI number | 1386353084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
| Mailing address | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
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Tamika Taylor
190 N Florissant Rd, Ferguson, MO 63135-1942 · (314) 521-4518