MEDICARE: DR. TERYN J'NAE WALKER PHARM.D.

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	1835P2201X	Ambulatory Care Pharmacist	59041	TX

General Provider Information

NPI Number	:	1386096485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERYN J'NAE WALKER PHARM.D.

Provider Business Mailing Address
First Line	:	808 JOLIET AVE UNIT 120
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-1148
Country	:	US
Telephone Number	:	806-761-0738
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 JOLIET AVE UNIT 120
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-1148
Country	:	US
Telephone Number	:	806-761-0738
Fax Number	:

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

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	08/19/2021

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