JOHN EDWARD WALL

PETERSBURG, VA
NPI1396880738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202007843)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- JOHN EDWARD WALL RPH
26317 W. WASHINGTON STREET EXTENDED
PETERSBURG, VA 23803-0030
Phone number: 804-524-7657
Mailing Address
-- JOHN EDWARD WALL RPH
11104 CONTINENTAL CT
PETERSBURG, VA 23805-9689
Phone number: