Individual
MS. ANNE J. WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
909 GRAND AVE, SAN RAFAEL, CA 94901
(415) 462-6001
Mailing address
1734 MENDOCINO ST, RICHMOND, CA 94804-5315
(510) 525-0272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42385
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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