JAMIE GLENN WALLER

NEWPORT NEWS, VA
NPI1104161561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202211827)
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
Dr. JAMIE GLENN WALLER Pharm.D
12130 JEFFERSON AVE
NEWPORT NEWS, VA 23602-6908
Phone number: 757-881-9371
Mailing Address
Dr. JAMIE GLENN WALLER Pharm.D
510 ELF TRAIL
BASSETT, VA 24055
Phone number: 804-921-6303
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