Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THADDAEUS WALLACE, PHARMD
ActiveTHADDAEUS WALLACE, PHARMD is a Oncology Pharmacist healthcare provider located in SHREVEPORT, Louisiana. NPI 1033069448 is currently active in the NPPES registry. Verify at CMS.
Oncology Pharmacist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1033069448
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2026 (0.54435556726246 yrs)
- Last Updated
- Feb 3, 2026
- License
-
018835 (LA)
Practice Information
- Address
-
1501 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186260852
- Primary Specialty
-
Oncology Pharmacist
1835X0200X
Other Oncology Pharmacist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| GHASSAN FOUAD HAMDAN | RPH | 1114270261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.