MEDICARE: MRS. KAREN JOHANNA WALCH RPH

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	1835P2201X	Ambulatory Care Pharmacist	044527	MO
2	1835P2201X	Ambulatory Care Pharmacist	296559	IL

General Provider Information

NPI Number	:	1871445320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN JOHANNA WALCH RPH

Provider Business Mailing Address
First Line	:	14500 SINKS RD
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034-1721
Country	:	US
Telephone Number	:	314-657-9000
Fax Number	:	314-525-0416

Provider Business Practice Location Address
First Line	:	3023 N BALLAS RD STE 100D
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2330
Country	:	US
Telephone Number	:	314-657-9008
Fax Number	:	314-921-7502

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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