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Individual

MR. JAMES JOSEPH WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
940 BELMONT ST, PHARMACY 119, BROCKTON, MA 02301-5596
(774) 826-2411
Mailing address
940 BELMONT ST, PHARMACY 119, BROCKTON, MA 02301-5596
(774) 826-2411

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14879
MA

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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