Walden, Edmund Otis

Walden, Edmund Otis is an individual health care provider with primary practice located at 1601 Sw Archer Rd Pharmacy Service (119), Gainesville FL 32608-1135. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Walden, Edmund Otis can be contacted via phone (352) 376-1611.

Contact Information

Primary practice address
1601 Sw Archer Rd Pharmacy Service (119) Gainesville FL 32608-1135
Phone: (352) 376-1611
Fax: (352) 379-4029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS0016175 Florida
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PS0016175 Florida

Profile Details

NPI number 1851388581
LBN Legal business name Walden, Edmund Otis
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers