Waller, Jacqueline Rae

Waller, Jacqueline Rae is an sole proprietor health care provider with primary practice located at 8105 Veterans Way , Montgomery AL 36117-3879. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Waller, Jacqueline Rae can be contacted via phone (308) 850-4306.

Contact Information

Primary practice address
8105 Veterans Way Montgomery AL 36117-3879
Phone: (308) 850-4306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 16773 Nebraska

Profile Details

NPI number 1891387809
LBN Legal business name Waller, Jacqueline Rae
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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