Provider Demographics
NPI:1952527632
Name:WALKER, JANICE E (RPH)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:E
Last Name:WALKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 HOLLY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1271
Mailing Address - Country:US
Mailing Address - Phone:856-589-4036
Mailing Address - Fax:856-589-2034
Practice Address - Street 1:500 WOODBURY GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4574
Practice Address - Country:US
Practice Address - Phone:856-582-4300
Practice Address - Fax:856-582-4887
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01629400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist