Individual
MR. JAMES WYATT WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3066 LOUISIANA HWY 78, LIVONIA, LA 70755
(225) 637-2356
(225) 637-2855
Mailing address
5600 ISLAND RD, JARREAU, LA 70749-3307
(225) 202-5699
(225) 637-2855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16690
LA
3336C0003X
Community/Retail Pharmacy
8110
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207733
—
LA
Enumeration date
10/08/2014
Last updated
11/19/2020
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