Individual
DR. JENNIFER WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
100 W BIG BEAVER RD, SUITE 600, TROY, MI 48084-5206
(248) 925-1790
Mailing address
84 MELANIE LN, TROY, MI 48098-1707
(248) 561-1168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028432
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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