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General NPI Number Information
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NPI Number | 1013393891
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Entity Type | Individual
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Provider Name | MISTY L WALKER PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | CVS/TARGET 10019 S. MEMORIAL DR.
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City | TULSA
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State | OK
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Zip | 74133
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Country | US
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Telephone | 918-615-5001
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Fax | 918-615-5011
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Provider Business Mailing Address
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Address Line | 10019 S. MEMORIAL DR CVS/TARGER
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City | TULSA
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State | OK
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Zip | 74133
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Country | US
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Telephone | 918-343-7457
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Fax | 918-341-6278
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD10464
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13637
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License Number State | OK
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