Vivian Waller

NPI 1073943031 - Pharmacist - 183500000X

NPI Details
NPI 1073943031
Gender Female
Enumeration Date 11/12/2013
Last Updated 11/12/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
110 E AZALEA AVE
FOLEY AL, 36535-2540, US
Phone (251) 424-1563
Fax
Business Location
PO BOX 7825
GULF SHORES AL, 36547-7825, US
Phone (251) 424-1563
Fax
Toxanomy
Taxonomy Code 183500000X
License State Alabama
License Number 12096
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According to our database, Vivian Waller NPI is 1073943031, taxonomy code is 183500000X and license number is 12096, license state is located at Alabama. Vivian Waller physically located at 110 E Azalea Ave, Foley AL, 36535-2540. NPI Number Vivian Waller has the Individual type.

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1073943031 NPI number is provided on an as is basis without warranty of any kind. 1073943031 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Waller are for informational purposes only.