Individual
GINA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3110 ROUTE 38, MOUNT LAUREL, NJ 08054-9724
(856) 235-7126
Mailing address
33 SPINNING WHEEL LN, MARLTON, NJ 08053-1142
(804) 334-4769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03981600
NJ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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