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1396880738
JOHN EDWARD WALL
PETERSBURG, VA
NPI
1396880738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202007843)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- JOHN EDWARD WALL RPH
26317 W. WASHINGTON STREET EXTENDED
PETERSBURG, VA 23803-0030
Phone number: 804-524-7657
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Mailing Address
-- JOHN EDWARD WALL RPH
11104 CONTINENTAL CT
PETERSBURG, VA 23805-9689
Phone number:
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