Organization
L.D. WALTER GROUP
Active
Other names
E.J. Walter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARONDA WALTER (PHARMACIST IN CHARGE)
(713) 330-8011
Entity
Organization
Contact information
Practice address
507 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77060-4039
(713) 330-8011
(713) 330-3011
Mailing address
507 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77060-4039
(713) 330-8011
(713) 330-3011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
29715
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149649
—
TX
01
—
2155063
PK
—
Enumeration date
11/29/2006
Last updated
09/17/2024
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