MEDICARE: DR. STEVEN JAMES WALLS PHARMD

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	183500000X	Pharmacist	27326	NC

General Provider Information

NPI Number	:	1467977587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JAMES WALLS PHARMD

Provider Business Mailing Address
First Line	:	1160 16TH ST NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-4239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 16TH ST NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-4239
Country	:	US
Telephone Number	:	828-256-9816
Fax Number	:

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

Provider Enumeration Date	:	08/09/2017
Last Update Date	:	08/09/2017

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