Individual provider · Type 1 NPI

Jamie Glenn Waller, PharmD

Pharmacist · Newport News, VA

NPI number 1104161561 Active

Practice location

12130 Jefferson Ave
Newport News, VA 23602-6908

Mailing address

510 Elf Trail
Bassett, VA 24055

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202211827 (VA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

9 other providers at this address

Other pharmacist providers in Newport News

See all in Newport News →

About NPI 1104161561

Jamie Glenn Waller, PharmD's National Provider Identifier is 1104161561, issued on Dec 11, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Newport News, VA. The record was last updated on Dec 11, 2012.