Individual
JEAN MARIE WALLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1405 S GRAND AVE, CHARLES CITY, IA 50616-3670
(641) 228-7940
(641) 228-7883
Mailing address
1405 S GRAND AVE, CHARLES CITY, IA 50616-3670
(641) 228-7940
(641) 228-7883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12350
CO
183500000X
Pharmacist
Primary
15093
IA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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