Individual
PATRICK J. WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11333 AURORA AVE, URBANDALE, IA 50322-7908
(515) 557-3235
(515) 557-3125
Mailing address
11333 AURORA AVE, URBANDALE, IA 50322-7908
(515) 557-3235
(515) 557-3125
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
16421
IA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
16421
IA
3336S0011X
Specialty Pharmacy
16421
IA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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