Provider Demographics
NPI:1255702205
Name:WALKER, RITA D (RPH)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:D
Last Name:WALKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:D
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1034 GROVE STREET
Mailing Address - Street 2:MEADVILLE MEDICAL CENTER PHARMACY
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-5115
Mailing Address - Country:US
Mailing Address - Phone:814-333-5963
Mailing Address - Fax:814-333-5965
Practice Address - Street 1:1034 GROVE STREET
Practice Address - Street 2:MEADVILLE MEDICAL CENTER PHARMACY
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-5115
Practice Address - Country:US
Practice Address - Phone:814-333-5963
Practice Address - Fax:814-333-5965
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029450L183500000X
PARN640849163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163W00000XNursing Service ProvidersRegistered Nurse