Organization
DONALD EARL WALKER
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WALKER B.S. PHARMACY (OWNER)
(865) 983-9591
Entity
Organization
Contact information
Practice address
2541 E BROADWAY AVE, MARYVILLE, TN 37804-2760
(865) 983-9591
(865) 983-6632
Mailing address
2541 E BROADWAY AVE, MARYVILLE, TN 37804-2760
(865) 983-9591
(865) 983-6632
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088665
PK
—
05
—
3543247
—
TN
Enumeration date
10/12/2006
Last updated
03/29/2016
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