Provider Demographics
NPI:1750623963
Name:WALKER PHARMACY
Entity type:Organization
Organization Name:WALKER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-978-9393
Mailing Address - Street 1:29811 WALKER SOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-2017
Mailing Address - Country:US
Mailing Address - Phone:225-924-1463
Mailing Address - Fax:225-243-7983
Practice Address - Street 1:29811 WALKER SOUTH ROAD
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-2017
Practice Address - Country:US
Practice Address - Phone:225-924-1463
Practice Address - Fax:225-243-7983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0157013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1936826OtherNCPDP
LA1936826OtherNCPDP