Individual
JOHN MICHAEL WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
3674 E COUNTRY FIELD CIR, WASILLA, AK 99654-5101
(907) 352-5563
(866) 537-6321
Mailing address
3674 E COUNTRY FIELD CIR, WASILLA, AK 99654-5101
(907) 352-5563
(866) 537-6321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2294
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2294
ALASKA BOARD OF PHARMACY
AK
Enumeration date
12/17/2015
Last updated
12/17/2015
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