Individual
DR. JACOB KEITH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
PO BOX 2712, ROANOKE, VA 24001-2712
(336) 858-0988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202223717
VA
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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