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Individual
DR. MICAH EVAN WALTER
Active
Individual
DR. MICAH EVAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.,CIP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011846
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP-0011846
OR
Other
Enumeration date
08/13/2012
Last updated
03/29/2023
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