DANIEL WALLER

NORFOLK, VA
NPI1730783481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202211653)
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
DANIEL WALLER
3200 LAFAYETTE BLVD
NORFOLK, VA 23509-2548
Phone number: 757-852-2603
Mailing Address
DANIEL WALLER
3200 LAFAYETTE BLVD
NORFOLK, VA 23509-2548
Phone number: 757-852-2603
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