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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTIE JACKSON WALLACE, PHARMD

Active

DR. KRISTIE JACKSON WALLACE, PHARMD is a Pharmacotherapy Specialist healthcare provider located in ST PETERSBURG, Florida. NPI 1154324861 is currently active in the NPPES registry. Verify at CMS.

Pharmacotherapy Specialist · ST PETERSBURG, FL

Registration Details

NPI Number
1154324861
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2005 (21.037734580014 yrs)
Last Updated
Jul 8, 2007
License
PS27159 (FL)

Practice Information

Address
499 LAGUNA DR
ST PETERSBURG, FL, 337151842
Browse FL providers · Browse ZIP 33715
Phone
7275421340
Fax
7278656040
Primary Specialty
Pharmacotherapy Specialist
1835P1200X

Other Pharmacotherapy Specialist Providers in ST PETERSBURG, FL

Name Credential NPI
DR. MICHAEL R. HALBERT PHARM.D. 1386646388
MS. DENELLE LYNN HALL RPH 1023004736
DR. LYNETTE LOUISE CARL PHARM.D., R.PH. 1265779169
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.