Healthcare Provider Details

I. General information

NPI: 1871445320
Provider Name (Legal Business Name): KAREN JOHANNA WALCH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3023 N BALLAS RD STE 100D
SAINT LOUIS MO
63131-2330
US

IV. Provider business mailing address

14500 SINKS RD
FLORISSANT MO
63034-1721
US

V. Phone/Fax

Practice location:
  • Phone: 314-657-9008
  • Fax: 314-921-7502
Mailing address:
  • Phone: 314-657-9000
  • Fax: 314-525-0416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number044527
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number296559
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: