Individual
ALEXA WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
451 CENTER ST, LUDLOW, MA 01056-2769
(413) 589-9559
Mailing address
451 CENTER ST, LUDLOW, MA 01056-2769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/30/2020
Last updated
11/30/2020
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