Provider Demographics
NPI:1215582788
Name:WALKER, MACEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MACEY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 PEACHTREE PKWY STE D142
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6054
Mailing Address - Country:US
Mailing Address - Phone:770-882-5332
Mailing Address - Fax:
Practice Address - Street 1:255 SATELLITE BLVD NE STE 300
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7127
Practice Address - Country:US
Practice Address - Phone:770-945-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist