MEDICARE: DR. REGINALD ORRIN 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	43539	CA

General Provider Information

NPI Number	:	1437374402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINALD ORRIN WALKER PHARMD.

Provider Business Mailing Address
First Line	:	11496 BRIDGEWAY DR
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-3465
Country	:	US
Telephone Number	:	951-688-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 E FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-1937
Country	:	US
Telephone Number	:	323-582-6363
Fax Number	:	323-582-0955

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/08/2007

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