Individual
JOSHUA WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
175 HIGH ST, ELLSWORTH, ME 04605-1730
(207) 669-3005
Mailing address
175 HIGH ST, ELLSWORTH, ME 04605-1730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5850
ME
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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