Provider Demographics
NPI:1497355994
Name:WALKER, DARISKA (PHARMD)
Entity Type:Individual
Prefix:
First Name:DARISKA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 TERRACE GREENE CIR
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22923-2871
Mailing Address - Country:US
Mailing Address - Phone:910-336-0308
Mailing Address - Fax:
Practice Address - Street 1:135 STONERIDGE DR N
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-3088
Practice Address - Country:US
Practice Address - Phone:434-990-6003
Practice Address - Fax:434-990-6080
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202216915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist