Provider Demographics
NPI:1659686855
Name:WALKER, PHILPATRICK (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PHILPATRICK
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 WESTBANK EXPY
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-4607
Mailing Address - Country:US
Mailing Address - Phone:504-348-1026
Mailing Address - Fax:504-348-3407
Practice Address - Street 1:818 WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-4607
Practice Address - Country:US
Practice Address - Phone:504-348-1026
Practice Address - Fax:504-348-3407
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist