Provider Demographics
NPI:1578861951
Name:WALKER, THOMAS B (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:B
Last Name:WALKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-1719
Mailing Address - Country:US
Mailing Address - Phone:864-647-5051
Mailing Address - Fax:864-647-8343
Practice Address - Street 1:300 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:SC
Practice Address - Zip Code:29693-1719
Practice Address - Country:US
Practice Address - Phone:864-647-5051
Practice Address - Fax:864-647-8343
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist