Thaddaeus Wallace
Oncology
1501 Kings Hwy, Shreveport
Louisiana, 71103-4228
318-626-0852 Thaddaeus Wallace is a pharmacist who is specialized in Oncology in Shreveport, Louisiana. Patients can reach him at 1501 Kings Hwy, Shreveport or contact him on 318-626-0852. Active license number of Thaddaeus Wallace is 018835 for Oncology in Louisiana.
Thaddaeus Wallace is a licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Complete Profile:
Thaddaeus 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: | Thaddaeus Wallace |
| Specialization: | Oncology |
| Credentials: | PHARMD |
| Gender: | Male |
| Location: | 1501 Kings Hwy, Shreveport,
Louisiana, 71103-4228 |
| Phone: | 318-626-0852 |
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 Thaddaeus Wallace are as mentioned below.
| NPI Number: | 1033069448 |
| NPI Enumeration Date: | 03 Feb, 2026 |
| NPI Last Update On: | 03 Feb, 2026 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thaddaeus Wallace are as mentioned below.
| Specialization | License Number | State | Status | |
| Oncology | 018835 | Louisiana | 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: | 1501 Kings Hwy,
Shreveport, Louisiana |
| Zip: | 71103-4228 |
| Phone Number: | 318-626-0852 |
Patients can reach Thaddaeus Wallace at
1501 Kings Hwy, Shreveport, Louisiana or can
call on phone at 318-626-0852.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.