Provider Demographics
NPI:1639836562
Name:WALKER, DANIELLE SHERIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:SHERIE
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 1:59 ARITA CIR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-2237
Mailing Address - Country:US
Mailing Address - Phone:336-972-1966
Mailing Address - Fax:
Practice Address - Street 1:3150 GAMMON LN
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9052
Practice Address - Country:US
Practice Address - Phone:336-766-2069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-27
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist