Dr. Shannon Walter, PharmD
Pharmacist, Ambulatory Care in Houston, TX. Individual provider (NPI-1).
NPI number1164094546
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1164094546
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Walter
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 9, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | 67259 | TX | Yes |
Practice location
2525a Holly Hall StHouston, TX 77054-4124
Phone 979-241-2193
Mailing address
2004 Tupperlake LnBay City, TX 77414-7724
Phone 979-241-2103
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