Provider Demographics
NPI:1578537668
Name:WALKER, JOANNA LEIGH (BS, PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:LEIGH
Last Name:WALKER
Suffix:
Gender:F
Credentials:BS, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5935
Mailing Address - Country:US
Mailing Address - Phone:615-217-5065
Mailing Address - Fax:
Practice Address - Street 1:1277 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2423
Practice Address - Country:US
Practice Address - Phone:931-728-1100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist