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Individual

ANTHONY WALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-0651
Mailing address
10879 TIMBER CREEK DR, FORT MYERS, FL 33913-0073

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55661
FL

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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