Dr. Jacob Tyler Wallace
Pharmacist
201 W Marion St Ste 100, Shelby
North Carolina, 28150-5094
980-552-4402 704-831-8118
Dr. Jacob Tyler Wallace is a pharmacist in Shelby, North Carolina. Patients can reach him at 201 W Marion St Ste 100, Shelby or contact him on 980-552-4402. Active license number of Dr. Jacob Tyler Wallace is 21863 for Pharmacist in North Carolina.
Dr. Jacob Tyler Wallace is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Jacob Tyler Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Jacob Tyler Wallace |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Male |
| Location: | 201 W Marion St Ste 100, Shelby,
North Carolina, 28150-5094 |
| Phone: | 980-552-4402 |
| Fax: | 704-831-8118 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Jacob Tyler Wallace are as mentioned below.
| NPI Number: | 1427338169 |
| NPI Enumeration Date: | 25 Aug, 2011 |
| NPI Last Update On: | 02 Feb, 2023 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacob Tyler Wallace are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 21863 | North Carolina | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 201 W Marion St Ste 100,
Shelby, North Carolina |
| Zip: | 28150-5094 |
| Phone Number: | 980-552-4402 |
| Fax Number: | 704-831-8118 |
Patients can reach Dr. Jacob Tyler Wallace at
201 W Marion St Ste 100, Shelby, North Carolina or can
call on phone at 980-552-4402.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.