Michael Wallon
NPI #1710590906 in Central Square, New York
Provider Information
- NPI Number
- 1710590906
- Entity Type
- Individual
- Name
- Michael Wallon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Aug 26, 2020
Practice Location
- Address
- 3035 EAST AVE
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-2611
- Phone
- (315) 668-7363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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