Provider Demographics
NPI:1396072633
Name:WALKER, WILLIAM T JR (RPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1401 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-9024
Mailing Address - Country:US
Mailing Address - Phone:919-567-2846
Mailing Address - Fax:919-567-9235
Practice Address - Street 1:1401 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-9024
Practice Address - Country:US
Practice Address - Phone:919-567-2846
Practice Address - Fax:919-567-9235
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist