Individual
AUTUMN WALKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
501 W OLYMPIC BLVD PH 1700, LOS ANGELES, CA 90015-2752
(213) 215-9176
Mailing address
501 W OLYMPIC BLVD PH 1700, LOS ANGELES, CA 90015-2752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
85495
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
85495
CA
1835P1200X
Pharmacotherapy Pharmacist
85495
CA
1835P1300X
Psychiatric Pharmacist
85495
CA
Other
Enumeration date
11/16/2023
Last updated
12/31/2023
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