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Organization
WALKERS PHARMACY
Active
Organization
WALKERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MARTIN RPH (OWNER)
(936) 348-2671
Entity
Organization
Contact information
Practice address
112 W MAIN ST, MADISONVILLE, TX 77864-1905
(936) 348-2671
(936) 348-2236
Mailing address
112 W MAIN ST, MADISONVILLE, TX 77864-1905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
TX0033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140108
—
TX
01
—
4509660
OTHER ID NUMBER
—
Enumeration date
01/08/2007
Last updated
09/12/2007
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