Provider Demographics
NPI:1013217793
Name:WALKER, JULIE ANN (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:MYHREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
Mailing Address - City:SHIPROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87420-0160
Mailing Address - Country:US
Mailing Address - Phone:505-386-7266
Mailing Address - Fax:505-368-7262
Practice Address - Street 1:US HWY 491 NORTH
Practice Address - Street 2:NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
Practice Address - City:SHIPROCK
Practice Address - State:NM
Practice Address - Zip Code:87420
Practice Address - Country:US
Practice Address - Phone:505-386-7266
Practice Address - Fax:505-368-7262
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19174183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy