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NPI Code Detail

MEDICARE: AMANDA MONIQUE WALKER PHARMD

MEDICARE:   AMANDA MONIQUE 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
1183500000XPharmacist42278SC

General Provider Information

NPI Number : 1457902330
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MONIQUE WALKER PHARMD
Provider Business Mailing Address
First Line : PO BOX 860
Second Line :
City : FORT DEFIANCE
State : AZ
Zip : 86504-0860
Country : US
Telephone Number : 352-256-0342
Fax Number :
Provider Business Practice Location Address
First Line : 13401 OLD GLENN HWY
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-7565
Country : US
Telephone Number : 907-689-4033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 07/24/2022

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Directions to “ AMANDA MONIQUE WALKER PHARMD” Practice Location

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