{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "WALKER PHARMACY AND GIFTS, INC.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 2087",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STATESBORO",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30459-2087",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-764-6715",
"MailingAddressFaxNumber": "912-489-4649",
"FirstLinePracticeLocationAddress": "2425 NORTHSIDE DR W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STATESBORO",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-764-6715",
"PracticeLocationAddressFaxNumber": "912-489-4649",
"EnumerationDate": "06/14/2006",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALKER",
"AuthorizedOfficialFirstName": "JORDAN",
"AuthorizedOfficialMiddleName": "DENT",
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"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "912-681-3784",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "6365",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}