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NPI Code Detail

MEDICARE: DR. JEFFERY WALSH SPRAY PHARM.D., BCPS

MEDICARE:  DR. JEFFERY WALSH SPRAY  PHARM.D., BCPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy PharmacistR1870NH
21835P1200XPharmacotherapy Pharmacist0202206196VA

General Provider Information

NPI Number : 1518965797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFERY WALSH SPRAY PHARM.D., BCPS
Provider Business Mailing Address
First Line : 120 WHIRLWIND DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22602-6261
Country : US
Telephone Number : 603-731-0921
Fax Number :
Provider Business Practice Location Address
First Line : 104 SELMA DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3834
Country : US
Telephone Number : 603-731-0921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFERY WALSH SPRAY PHARM.D., BCPS” Practice Location

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