Individual
ANTHONY S. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
7311 E 29TH DR, DENVER, CO 80238-2964
(720) 214-5332
Mailing address
2821 DAHLIA ST, DENVER, CO 80207-3054
(303) 296-1893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17509
CO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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