Provider Demographics
NPI:1861028326
Name:J WALKER ENTERPRISES LLC
Entity Type:Organization
Organization Name:J WALKER ENTERPRISES LLC
Other - Org Name:WALKER'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WYATT
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-637-2356
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:LA
Mailing Address - Zip Code:70755-0218
Mailing Address - Country:US
Mailing Address - Phone:225-637-2356
Mailing Address - Fax:225-637-2855
Practice Address - Street 1:3066 HWY 78
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:LA
Practice Address - Zip Code:70755
Practice Address - Country:US
Practice Address - Phone:225-637-2356
Practice Address - Fax:225-637-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy