Individual
JOHN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 MAIN ST, MURRAY, KY 42071-1820
(270) 762-8991
Mailing address
1205 MAIN ST, MURRAY, KY 42071-1820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012612
KY
183500000X
Pharmacist
PHA-16484
CO
183500000X
Pharmacist
RP00005871
NM
183500000X
Pharmacist
RPH-0008610
OR
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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