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Individual

DR. BRITTANY JILL WALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
500 N CARROLLTON AVE, NEW ORLEANS, LA 70119-4705
(504) 482-3100
(504) 208-3526
Mailing address
921 DESIRE ST, NEW ORLEANS, LA 70117-6249
(865) 603-5675

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
060005
NY
183500000X
Pharmacist
PCT.0012734
CT
183500000X
Pharmacist
Primary
PST.021507
LA

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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