Individual
BERNARD WALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
66 MIDDLEBUSH RD, WAPPINGERS FALLS, NY 12590-4098
(845) 296-1973
Mailing address
7 PECAN VALLEY DR, NEW CITY, NY 10956-5545
(845) 638-3832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026412
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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