Individual
EMILY WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21500 CATAWBA AVE, CORNELIUS, NC 28031-6577
(704) 655-1991
Mailing address
21500 CATAWBA AVE, CORNELIUS, NC 28031-6577
(704) 655-1991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26266
NC
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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