MARK WAYNE WALTERS

VIRGINIA, MN
NPI1023018025
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: MN  113186-8)
Enumeration Date2005-08-01
Last Update Date2007-07-08
Business Address
MARK WAYNE WALTERS RPH
306 CHESTNUT ST
VIRGINIA, MN 55792-2524
Phone number: 218-749-6333
Mailing Address
MARK WAYNE WALTERS RPH
11405 TOWN LINE RD
HIBBING, MN 55746-8149
Phone number: 218-263-3553
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