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NPI Code Detail

MEDICARE: MRS. LINDA LAFAYE WALKER RPH

MEDICARE: MRS. LINDA LAFAYE WALKER 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
1183500000XPharmacistRPH019475GA
2183500000XPharmacistPS31952FL
3183500000XPharmacist0202012419VA

General Provider Information

NPI Number : 1508981887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA LAFAYE WALKER RPH
Provider Business Mailing Address
First Line : 454 LONGWOOD DR
Second Line :
City : THOMASVILLE
State : GA
Zip : 31757-0928
Country : US
Telephone Number : 229-227-0434
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W SCREVEN ST
Second Line :
City : QUITMAN
State : GA
Zip : 31643-3913
Country : US
Telephone Number : 229-263-6130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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