Individual
CAROL RENAE GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2823 W MAIN ST, WAYNESBORO, VA 22980-1619
(540) 949-8871
Mailing address
289 STAYMAN LN, STAUNTON, VA 24401-8993
(814) 327-3759
(540) 949-7934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211211
VA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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