Individual
MRS. BRANDY LYNN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4870 W DAVIS ST, CONROE, TX 77304-4280
(936) 760-3883
Mailing address
4870 W DAVIS ST, CONROE, TX 77304-4280
(936) 760-3883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34722
TX
Other
Enumeration date
12/01/2009
Last updated
12/04/2009
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