Walsh, Keith Thomas

Walsh, Keith Thomas is an individual health care provider with primary practice located at 4747 S Highway 95 , Fort Mohave AZ 86426-9377. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Walsh, Keith Thomas can be contacted via phone (928) 330-3704.

Contact Information

Primary practice address
4747 S Highway 95 Fort Mohave AZ 86426-9377
Phone: (928) 330-3704
Fax: (928) 330-3707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S019853 Arizona
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X S019853 Arizona

Profile Details

NPI number 1295160521
LBN Legal business name Walsh, Keith Thomas
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2013
Last updated Oct 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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