Most Relevant Information
Provider Data
| NPI Number: | 1003355983 |
| Provider Name: | LARONDA WALTER |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 3336C0003X |
Most Important Dates
| Enumeration Date: | 02/13/2017 |
| Last Updated: | 02/20/2017 |
Provider Practice Location
5415 KELLEY ST
SUITE D
HOUSTON
TX
770261886
Practice Location Phone/Fax
| Phone: | 7133308011 |
| Fax: | 7133303011 |
Provider Mailing Location
5415 KELLEY ST
SUITE D
HOUSTON
TX
77026
Provider Mailing Phone/Fax
| Phone: | 7133308011 |
| Fax: | 7133303011 |