Provider Demographics
NPI:1689957375
Name:WALKER, TYLER R (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:R
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 1:6906 CRUMLEY LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-0959
Mailing Address - Country:US
Mailing Address - Phone:865-386-3440
Mailing Address - Fax:
Practice Address - Street 1:6920 MAYNARDVILLE PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5300
Practice Address - Country:US
Practice Address - Phone:865-922-6437
Practice Address - Fax:865-922-5496
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist