MEDICARE: DR. MATTHEW JAMES WALKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP0009914	WV

General Provider Information

NPI Number	:	1083221188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JAMES WALKER PHARMD

Provider Business Mailing Address
First Line	:	18 MAXWELL CIR
Second Line	:
City	:	MILTON
State	:	WV
Zip	:	25541-1449
Country	:	US
Telephone Number	:	304-638-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 WASHINGTON AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1146
Country	:	US
Telephone Number	:	304-522-0045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2020
Last Update Date	:	09/23/2020

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