Jessica Wallace, in Washington, DC - Pharmacist

Jessica Wallace, is a Pharmacist based in Washington, District Of Columbia. Jessica Wallace is licensed to practice in District Of Columbia (license number PH100002131) and her current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at (202) 476-8586.

NPI number for Jessica Wallace is 1245577907 and her current mailing address is 111 Michigan Ave Nw, Washington, District Of Columbia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245577907.

Contact Information

	Jessica Wallace,
	111 Michigan Ave Nw, Washington, DC 20010-2916
	(202) 476-8586
	Not Available

Healthcare Provider's Profile

Full Name	Jessica Wallace
Gender	Female
Speciality	Pharmacist
Location	111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1245577907
Provider Enumeration Date: 01/14/2013
Last Update Date: 06/15/2021

Medical Identifiers

Medical identifiers for Jessica Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245577907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	RPH026896 (Georgia)	Secondary
183500000X	Pharmacist	PH100002131 (District Of Columbia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Wallace, 111 Michigan Ave Nw, Washington, DC 20010-2916 Ph: (202) 476-8586	Jessica Wallace, 111 Michigan Ave Nw, Washington, DC 20010-2916 Ph: (202) 476-8586

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Jessica Wallace, - Pharmacist in Washington, DC