Individual
DR. WALLENE Z BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
750 1ST ST NE, WASHINGTON, DC 20002-4241
(202) 427-3010
(202) 563-3909
Mailing address
PO BOX 953, RANDALLSTOWN, MD 21133-0953
(202) 427-3010
(202) 563-3909
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
12574
NV
1835P1200X
Pharmacotherapy Pharmacist
16065
MD
1835P1200X
Pharmacotherapy Pharmacist
47645
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH100000175
DC
Other
Enumeration date
07/07/2005
Last updated
02/28/2010
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