| NPI | 1124176136 |
|---|---|
| Doing Business As | WALTER'S PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KOEHN PIC 979-865-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 05941) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-11-04 |