Healthcare Provider Details

I. General information

NPI: 1316973126
Provider Name (Legal Business Name): CRAMER SMITH WALKER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 RAMSEY ST
FAYETTEVILLE NC
28301-3856
US

IV. Provider business mailing address

25 PEARSON ST
LILLINGTON NC
27546-8205
US

V. Phone/Fax

Practice location:
  • Phone: 910-822-7083
  • Fax: 910-822-7945
Mailing address:
  • Phone: 910-893-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number08205
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: