Individual
DR. ANDREW CLINTON WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2801 LEMMON AVE STE 100, DALLAS, TX 75204-2396
(469) 749-7824
(469) 749-7825
Mailing address
2801 LEMMON AVE STE 100, DALLAS, TX 75204-2396
(469) 749-7824
(469) 749-7825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67112
TX
Other
Enumeration date
05/12/2020
Last updated
03/19/2025
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