Carl Wallila

NPI #1861832388 in Laurel, Montana

Provider Information

NPI Number
1861832388
Entity Type
Individual
Name
Carl Wallila
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jun 28, 2013
Last Updated
Jun 28, 2013

Practice Location

Address
307 SE 4TH ST
City
Laurel
State
Montana
ZIP Code
59044-3324
Phone
(406) 628-8746

Specialties & Taxonomy Codes

Specialty
Pharmacist

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