Individual
DR. SHANNON WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2525A HOLLY HALL ST, HOUSTON, TX 77054-4124
(979) 241-2193
Mailing address
2004 TUPPERLAKE LN, BAY CITY, TX 77414-7724
(979) 241-2103
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
67259
TX
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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