Jovante Antwon Wallace is a pharmacist in Lombard, Illinois. Patients can reach him at 83 Oakton Dr, Lombard or contact him on 904-423-7863. Active license number of Jovante Antwon Wallace is 051300907 for Pharmacist in Illinois. Jovante Antwon 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:
Jovante Antwon 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:
Jovante Antwon Wallace
Specialization:
Pharmacist
Credentials:
PHARM.D.
Gender:
Male
Location:
83 Oakton Dr, Lombard, Illinois, 60148-7105
Phone:
904-423-7863
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 Jovante Antwon Wallace are as mentioned below.
NPI Number:
1063175842
NPI Enumeration Date:
18 Oct, 2021
NPI Last Update On:
18 Oct, 2021
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jovante Antwon Wallace are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
051300907
Illinois
Primary
Pharmacist
19222-40
Wisconsin
Secondary
Pharmacist
26027447A
Wisconsin
Secondary
Pharmacist
65475
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
83 Oakton Dr, Lombard, Illinois
Zip:
60148-7105
Phone Number:
904-423-7863
Fax Number:
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Patients can reach Jovante Antwon Wallace at 83 Oakton Dr, Lombard, Illinois or can call on phone at 904-423-7863.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.