Provider Demographics
NPI:1942948617
Name:BELCHER, WALTER LEE (PHARM-D)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:LEE
Last Name:BELCHER
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 1:6000 CRYSTAL LN
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-4406
Mailing Address - Country:US
Mailing Address - Phone:276-870-1758
Mailing Address - Fax:
Practice Address - Street 1:426 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9405
Practice Address - Country:US
Practice Address - Phone:606-436-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist