Organization
WALKER PHARMACY AND GIFTS, INC.
Active
Other names
Brooklet Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DENT WALKER PHARMD (PRESIDENT)
(912) 681-3784
Entity
Organization
Contact information
Practice address
102 PARKER AVE S, BROOKLET, GA 30415-8208
(912) 842-9886
(912) 842-9890
Mailing address
PO BOX 215, BROOKLET, GA 30415-0215
(912) 842-9886
(912) 842-9890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00286899F
—
GA
01
—
1150678
NCPDP NUMBER
GA
01
—
PHRE010915
STATE LICENSE
GA
Enumeration date
06/14/2006
Last updated
03/07/2023
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