Provider Demographics
NPI:1003543307
Name:WALKER, STEPHEN WEST (PHARM D)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:WEST
Last Name:WALKER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24615 HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:LONSDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72087-8017
Mailing Address - Country:US
Mailing Address - Phone:501-922-0909
Mailing Address - Fax:501-922-0921
Practice Address - Street 1:24615 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:LONSDALE
Practice Address - State:AR
Practice Address - Zip Code:72087-8017
Practice Address - Country:US
Practice Address - Phone:501-922-0909
Practice Address - Fax:501-922-0921
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD06195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist