Individual
MR. BRYAN CHARLES WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1020 1ST ST, COOS BAY, OR 97420-3806
(541) 269-4033
(541) 269-4034
Mailing address
1020 1ST ST, COOS BAY, OR 97420-3806
(541) 269-4033
(541) 269-4034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
OR9145
OR
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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