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NPI Code Detail

MEDICARE: WALFER CORP

MEDICARE: WALFER CORP
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
1333600000XPharmacyPH9089FL
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11052719OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497860423
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALFER CORP
Provider Business Mailing Address
First Line : 3524B TAMIAMI TRL
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-8100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3524 TAMIAMI TRL # B
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-8100
Country : US
Telephone Number : 941-627-9855
Fax Number : 941-627-0658
Authorized Official
Title or Position : OWNER/RPH
Name : WAYNE WALLACE
Credential : RPH.
Telephone Number : 941-627-9855
Provider Enumeration Date : 08/20/2006
Last Update Date : 03/07/2023

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Directions to “WALFER CORP ” Practice Location

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