Provider Demographics
NPI:1932236858
Name:WALKER, STEVEN RAY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RAY
Last Name:WALKER
Suffix:JR
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 1:3501 W EMORY RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-4720
Mailing Address - Country:US
Mailing Address - Phone:865-938-2838
Mailing Address - Fax:
Practice Address - Street 1:3501 W EMORY RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4720
Practice Address - Country:US
Practice Address - Phone:865-938-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10292183500000X
VA0202011466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist