Casey Anne Wall PHARM. D.

NPI 1568743441 - Pharmacist - 183500000X

NPI Details
NPI 1568743441
Gender Female
Enumeration Date 09/06/2011
Last Updated 09/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3400 AIRLINE DR
BOSSIER CITY LA, 71111-2122, US
Phone (318) 741-6589
Fax
Business Location
6149 LOVERS LN
SHREVEPORT LA, 71105-4829, US
Phone (318) 518-6821
Fax
Toxanomy
Taxonomy Code 183500000X
License State Louisiana
License Number 018470
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According to our database, Casey Anne Wall PHARM. D. NPI is 1568743441, taxonomy code is 183500000X and license number is 018470, license state is located at Louisiana. Casey Anne Wall PHARM. D. physically located at 3400 Airline Dr, Bossier City LA, 71111-2122. NPI Number Casey Anne Wall PHARM. D. has the Individual type.

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1568743441 NPI number is provided on an as is basis without warranty of any kind. 1568743441 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Anne Wall PHARM. D. are for informational purposes only.