Individual
GEORGIENNE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1918
(814) 938-9161
Mailing address
1502 WOODLAND RD, INDIANA, PA 15701-8512
(724) 349-3570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035494L
PA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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