Provider Demographics
NPI:1356624928
Name:BARKER, WALTER (RPH)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:
Last Name:BARKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58640 SAINT CLEMENT AVE
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3534
Mailing Address - Country:US
Mailing Address - Phone:225-685-0739
Mailing Address - Fax:
Practice Address - Street 1:58640 SAINT CLEMENT AVE
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3534
Practice Address - Country:US
Practice Address - Phone:225-685-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist