Most Relevant Information
Provider Data
| NPI Number: | 1003036328 |
| Provider Name: | WALTER L HOLT JR PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1200X |
| Specialty: | Pharmacist |
| License Number: | PS24002 |
Most Important Dates
| Enumeration Date: | 04/27/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1600 CLIFTON RD CENTERS FOR DISEAE CONTROL AND PREVENT
MS-73 RM 5004
ATLANTA
GA
30333
Practice Location Phone/Fax
| Phone: | 4044981278 |
| Fax: | 4044981112 |
Provider Mailing Location
1930 W HIGHTOWER TRL
CONYERS
GA
300121822
Provider Mailing Phone/Fax
| Phone: | 4044981278 |
| Fax: | 4044981112 |