Provider Demographics
NPI:1013703388
Name:WALKER, MEAGAN LOUISE (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:LOUISE
Last Name:WALKER
Suffix:
Gender:
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5689 MINCHEW RD
Mailing Address - Street 2:
Mailing Address - City:AXSON
Mailing Address - State:GA
Mailing Address - Zip Code:31624-4137
Mailing Address - Country:US
Mailing Address - Phone:912-592-0310
Mailing Address - Fax:
Practice Address - Street 1:223 ASHLEY ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2349
Practice Address - Country:US
Practice Address - Phone:912-550-5948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist