IndividualActive
Sharold Wallace
NPI 1386353084 · Pharmacy Technician · Ferguson, MO
Provider details
- NPI number
- 1386353084
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2001021627 (MO)
Mailing address
190 N Florissant Rd
Ferguson, MO 63135-1942
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.