MEDICARE: WALTER P FLOYD RPH

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	22334	TX

General Provider Information

NPI Number	:	1275842791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER P FLOYD RPH

Provider Business Mailing Address
First Line	:	1915 GRANGEWAY RD
Second Line	:
City	:	MARSHALL
State	:	TX
Zip	:	75672-5129
Country	:	US
Telephone Number	:	903-938-6069
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 W MAIN ST
Second Line	:
City	:	HALLSVILLE
State	:	TX
Zip	:	75650-5189
Country	:	US
Telephone Number	:	903-668-1409
Fax Number	:	903-668-1320

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

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	01/17/2014

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Directions to “ WALTER P FLOYD RPH” Practice Location

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