Basic Information
| Provider Information | |||||||||
| NPI: | 1003805573 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5410 WATERTOWER CT | ||||||||
| Address2: | APT. 227 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452272663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135841785 | ||||||||
| FaxNumber: | 5135844455 | ||||||||
| Practice Location | |||||||||
| Address1: | 231 ALBERT SABIN WAY, ML 585 | ||||||||
| Address2: | ROOM 3465 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452670001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135841785 | ||||||||
| FaxNumber: | 5135844455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 03326899 | OH | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.