Individual
DR. LEE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4102 OLD BUNCOMBE RD, GREENVILLE, SC 29617-3008
(864) 371-3651
Mailing address
4102 OLD BUNCOMBE RD, GREENVILLE, SC 29617-3008
(864) 371-3651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36583
SC
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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