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NPI Code Detail

MEDICARE: ALWINTER WALKER PHARM.D., R.PH.

MEDICARE:   ALWINTER  WALKER  PHARM.D., R.PH.
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
1183500000XPharmacistPS44443FL

General Provider Information

NPI Number : 1710206305
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALWINTER WALKER PHARM.D., R.PH.
Provider Business Mailing Address
First Line : PO BOX 5311
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32314-5311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W TENNESSEE ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32304-1029
Country : US
Telephone Number : 850-574-3966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2010
Last Update Date : 05/22/2010

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Directions to “ ALWINTER WALKER PHARM.D., R.PH.” Practice Location

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