Individual
REBECCA MILLER WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13316 ALEX CIR, EAGLE RIVER, AK 99577-6714
(906) 281-0148
Mailing address
13316 ALEX CIR, EAGLE RIVER, AK 99577-6714
(906) 281-0148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302036941
MI
183500000X
Pharmacist
Primary
PHAP2305
AK
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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