MEDICARE: MR. VICTOR MCCOY WALKER JR. R.PH., B.C.P.P.

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
1	1835P1300X	Psychiatric Pharmacist	RPH035999	CA

General Provider Information

NPI Number	:	1306842679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VICTOR MCCOY WALKER JR. R.PH., B.C.P.P.

Provider Business Mailing Address
First Line	:	811 SHASTA CIR
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4535
Country	:	US
Telephone Number	:	916-933-2907
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 SHASTA CIR
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4535
Country	:	US
Telephone Number	:	916-933-2907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/08/2014

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