Individual
MRS. CAROL F WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH
Contact information
Practice address
1500 POINSETT HWY, GREENVILLE, SC 29609-2929
(864) 235-7183
(865) 235-7534
Mailing address
104 BROOKDALE AVE, GREENVILLE, SC 29607-2936
(864) 255-9288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7475
SC
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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