Individual
MRS. DIANA CROCKETT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
180 VETERANS DR N, HUNTINGDON, TN 38344-6202
(731) 431-8654
Mailing address
180 VETERANS DR N, HUNTINGDON, TN 38344-6202
(731) 431-8654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8498
TN
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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