Provider Demographics
NPI:1841537669
Name:WALKER, SHANNON GALLASPY (PHARMD)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:GALLASPY
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 OLD SPRINGVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-3635
Mailing Address - Country:US
Mailing Address - Phone:205-815-5373
Mailing Address - Fax:205-815-5524
Practice Address - Street 1:5150 OLD SPRINGVILLE RD
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-3635
Practice Address - Country:US
Practice Address - Phone:205-815-5373
Practice Address - Fax:205-815-5524
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist