Provider Demographics
NPI:1275865511
Name:OCHALEK, WALTER LAWRENCE (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:LAWRENCE
Last Name:OCHALEK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8233 GREENMONT AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-8658
Mailing Address - Country:US
Mailing Address - Phone:352-219-9542
Mailing Address - Fax:
Practice Address - Street 1:8233 GREENMONT AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-8658
Practice Address - Country:US
Practice Address - Phone:352-219-9542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 40382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist