MEDICARE: DR. DANIELLE SHERIE 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	183500000X	Pharmacist	30736	NC

General Provider Information

NPI Number	:	1639836562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE SHERIE WALKER PHARM.D.

Provider Business Mailing Address
First Line	:	59 ARITA CIR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-2237
Country	:	US
Telephone Number	:	336-972-1966
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 GAMMON LN
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-9052
Country	:	US
Telephone Number	:	336-766-2069
Fax Number	:

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

Provider Enumeration Date	:	11/27/2021
Last Update Date	:	11/30/2021

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