Walter E Andrews, RPH

Individual provider Active NPI Pharmacist · Columbia, MS

NPI 1003980285 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003980285
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E-6266 (MS)
Practice address
1560 Sumrall Rd
Columbia, MS 39429-2654
Phone
(601) 740-2126
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
E-6266MSMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-6266 MS Yes

Addresses

Primary practice location

1560 Sumrall Rd
Columbia, MS 39429-2654

Mailing address

PO Box 630
Columbia, MS 39429-0630
Phone (601) 740-2126

Other providers in Columbia, MS

All providers in Columbia, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.