John Walz
Pharmacist in Alexandria, MN. Individual provider (NPI-1).
NPI number1801166319
StatusActive
Last updated in NPPESJan 1, 2012
Details
- NPI
- 1801166319
- Entity type
- Individual (NPI-1)
- Name
- John Walz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 1, 2012
- Last updated
- Jan 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 118542 | MN | Yes |
| 183500000X | Pharmacist | R5580 | SD |
Practice location
4404 Highway 29 SAlexandria, MN 56308-2915
Phone 320-763-7393
Mailing address
821 34th Ave E Apt 102Alexandria, MN 56308-2919
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