CRYSTAL WALLACE

VINELAND, NJ
NPI1467724674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NJ  28RI03230900)
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
-- CRYSTAL WALLACE
1070 W LANDIS AVE
VINELAND, NJ 08360-3422
Phone number: 856-205-9354
Mailing Address
-- CRYSTAL WALLACE
360 CEDARWOOD DR
VINELAND, NJ 08360-7710
Phone number: