Provider Demographics
NPI:1285474072
Name:J WALKER ENTERPRISES LLC
Entity type:Organization
Organization Name:J WALKER ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WYATT
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-637-2356
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:LA
Mailing Address - Zip Code:70755-0218
Mailing Address - Country:US
Mailing Address - Phone:225-637-2356
Mailing Address - Fax:225-713-3068
Practice Address - Street 1:3066 LOUISIANA HWY 78
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:LA
Practice Address - Zip Code:70755
Practice Address - Country:US
Practice Address - Phone:225-637-2356
Practice Address - Fax:225-713-3068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J WALKER ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy