Provider Demographics
NPI:1508314394
Name:WALK, ALEXANDER RICHARD (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:RICHARD
Last Name:WALK
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 1:401 M ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3469
Mailing Address - Country:US
Mailing Address - Phone:202-554-2076
Mailing Address - Fax:
Practice Address - Street 1:401 M ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3469
Practice Address - Country:US
Practice Address - Phone:202-554-2076
Practice Address - Fax:202-554-2868
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215391183500000X
MD24380183500000X
DCPH100002635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist