Healthcare Provider Details

I. General information

NPI: 1598890352
Provider Name (Legal Business Name): WHITNEY JOHNSON WALKER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 CLINTON HWY
POWELL TN
37849-5205
US

IV. Provider business mailing address

6906 CRUMLEY LN
KNOXVILLE TN
37918-0959
US

V. Phone/Fax

Practice location:
  • Phone: 865-938-2838
  • Fax: 865-938-3587
Mailing address:
  • Phone: 865-688-9938
  • Fax: 865-524-9925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11607
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: