Provider Demographics
NPI:1306842679
Name:WALKER, VICTOR MCCOY JR (RPH, BCPP)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:MCCOY
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:RPH, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 SHASTA CIR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4535
Mailing Address - Country:US
Mailing Address - Phone:916-933-2907
Mailing Address - Fax:
Practice Address - Street 1:811 SHASTA CIR
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4535
Practice Address - Country:US
Practice Address - Phone:916-933-2907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH0359991835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric