Individual
DR. ROSINA D VANDEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4063
Mailing address
16370 DEER RUN RD, WATERTOWN, NY 13601-5366
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
33105
NY
Other
Enumeration date
03/28/2010
Last updated
05/09/2012
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