Walker Pharmacy

Organization Active NPI Community/Retail Pharmacy · Gladewater, TX

NPI 1811087356 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1811087356
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
14725 (TX)
Legal business name
WALKER PHARMACY
Practice address
402 B W Upshur
Gladewater, TX 75647
Phone
(903) 845-2573
Fax
(903) 845-2266
NPI assigned
Oct 13, 2006
Organization subpart
No

Authorized official

Name
James Walker
Title
Owner
Phone
(903) 845-2573

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14725 TX Yes

Addresses

Primary practice location

402 B W Upshur
Gladewater, TX 75647

Mailing address

402 B W Upshur
Gladewater, TX 75647
Phone (903) 845-2573

Other identifiers

IdentifierTypeStateIssuer
143775MedicaidTX

Other providers in Gladewater, TX

All providers in Gladewater, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.