Individual
MADISON WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR DEPT OF, MORGANTOWN, WV 26506-1200
(304) 598-4148
Mailing address
13489 BELLBROOK DR, BROOKPARK, OH 44142-2614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03440721
OH
183500000X
Pharmacist
RP0012713
WV
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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