Healthcare Provider Details

I. General information

NPI: 1780504720
Provider Name (Legal Business Name): WALKER PHARMACY AND GIFTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MAPLE DR
VIDALIA GA
30474-8908
US

IV. Provider business mailing address

PO BOX 2087
STATESBORO GA
30459-2087
US

V. Phone/Fax

Practice location:
  • Phone: 912-538-0053
  • Fax: 912-538-0498
Mailing address:
  • Phone: 912-681-3784
  • Fax: 912-681-1382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JORDAN DENT WALKER
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 912-690-3537