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NPI Code Detail

MEDICARE: DR. ALLISON WALTA PHARMD

MEDICARE:  DR. ALLISON  WALTA  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
1183500000XPharmacist14459AL

General Provider Information

NPI Number : 1942745260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON WALTA PHARMD
Provider Business Mailing Address
First Line : 613 HAMBAUGH AVE
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-5111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 411 GREEN SPRINGS HWY
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-4909
Country : US
Telephone Number : 205-944-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2016
Last Update Date : 12/21/2016

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Directions to “ DR. ALLISON WALTA PHARMD” Practice Location

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