Individual
CASSANDRA JANE WALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8830 ALBEMARLE RD, CHARLOTTE, NC 28227-2616
(704) 264-0079
Mailing address
730 HAWTHORNE LN APT 161, CHARLOTTE, NC 28204-2173
(218) 779-2083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21276
NC
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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