Organization
WALTERS PHARMACY INC
Active
Other names
WALTERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD ANTHONY RPH (OWNER)
(610) 435-4706
Entity
Organization
Contact information
Practice address
401 N 17TH ST, SUITE 102, ALLENTOWN, PA 18104-5034
(610) 435-4706
(610) 435-2107
Mailing address
401 N 17TH ST, SUITE 102, ALLENTOWN, PA 18104-5034
(610) 435-4706
(610) 435-2107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412814L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05610030005
—
PA
01
—
2080026
PK
—
Enumeration date
05/27/2005
Last updated
02/20/2017
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