Individual
TREVOR WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
201 LAKESHORE PKWY, BIRMINGHAM, AL 35209-7105
(205) 941-0376
(205) 941-0934
Mailing address
201 LAKESHORE PKWY, BIRMINGHAM, AL 35209-7105
(205) 941-0376
(205) 941-0934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15731
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15731
CONTROLLED SUBSTANCE REGISTRATION NUMBER, ALABAMA STATE BOARD OF PHARMACY
AL
Enumeration date
12/01/2015
Last updated
12/01/2015
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