Provider Demographics
NPI:1689894941
Name:WALKER, PAMELA LYNNE (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:LYNNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:LYNNE
Other - Last Name:LADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:1500 E MEDICAL CENTER DR SPC 5008
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5008
Mailing Address - Country:US
Mailing Address - Phone:734-647-2359
Mailing Address - Fax:734-936-7027
Practice Address - Street 1:1500 E MEDICAL CENTER DR SPC 5008
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5008
Practice Address - Country:US
Practice Address - Phone:734-647-2359
Practice Address - Fax:734-936-7027
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020320591835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist