Vivian Waller

NPI 1073943031 · on the registry since 2013 · sole proprietor

Practice

Address: 1048 Stanton Rd Ste B
Daphne, AL 36526
Phone: (251) 626-2820
Organisation at this address: Middle Bay Ventures Llc
Middle Bay Ventures Llc -
Choice Source Therapeutic South Llc
Compound Pharmaceutical Technologies, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama