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General NPI Number Information
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NPI Number | 1669564134
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Entity Type | Organization
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Legal Business Name | WALKER DRUG COMPANY OF COLORADO
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 2241 N 7TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7423
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Country | US
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Telephone | 970-243-9303
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Fax | 970-242-0007
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Provider Business Mailing Address
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Address Line | 2241 N 7TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7423
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Country | US
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Telephone | 970-243-9303
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Fax | 970-242-0007
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | JACK WALKER
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Credential | RPH
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Telephone | 970-243-9303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 04239710000
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License Number State | CO
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