Organization
WALKER PHARMACY AND GIFTS, INC.
Active
Other names
Walker Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DENT WALKER PHARMD (PRESIDENT)
(912) 681-3784
Entity
Organization
Contact information
Practice address
2425 NORTHSIDE DR W, STATESBORO, GA 30458-2153
(912) 764-6715
(912) 489-4649
Mailing address
PO BOX 2087, STATESBORO, GA 30459-2087
(912) 764-6715
(912) 489-4649
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00286899A
—
GA
01
—
1128811
NCPDP NUMBER
GA
01
—
PHRE010914
STATE LICENSE
GA
Enumeration date
06/14/2006
Last updated
03/07/2023
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