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Contact Information

WALTON DRUG CO INC
150 MKL JR BLVD
SUITE A
MONROE, GA30655
 Phone: 770-267-2559
 Fax: 770-267-6138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALTON DRUG CO INC

NPI Number 1932217866
LBN Legal business name WALTON DRUG CO INC
Authorized official WANDA HICKMAN - (OWNER, AO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2006
Last updated 08/02/2019 - About 7 years ago
Identifiers
GA License # PHRE004488
GA Medicaid 00329667A
Other 2012680 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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