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

Thaddaeus Wallace, PHARMD

Individual provider Oncology Pharmacist · NPI 1033069448

Thaddaeus Wallace, PHARMD is an Oncology Pharmacist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.

Licensed in
LA
In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oncology Pharmacist (primary) Taxonomy 1835X0200X · Licence 018835 (LA)

Record details

NPI number1033069448
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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