Individual
DANNY L WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
221 MAIN ST, SMITHFIELD, VA 23430-1324
(757) 357-4361
Mailing address
221 MAIN ST, PO BOX 384, SMITHFIELD, VA 23431-0384
(757) 357-4361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202004173
PHARMACIST LICENSE
VA
Enumeration date
08/17/2005
Last updated
11/05/2009
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