Individual
JONATHAN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13301 STRICKLAND RD, RALEIGH, NC 27613-5221
(984) 777-4051
Mailing address
13301 STRICKLAND RD, RALEIGH, NC 27613-5221
(984) 777-4051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26193
NC
Other
Enumeration date
05/21/2020
Last updated
09/25/2023
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