Individual
MR. WALTER THOMAS DAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
217 LUCERNE BLVD, BIRMINGHAM, AL 35209-6613
(205) 879-2759
Mailing address
217 LUCERNE BLVD, BIRMINGHAM, AL 35209-6613
(205) 879-2759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6650
AL
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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