IndividualActive
Walter Holt Jr, PHARMD
NPI 1003036328 · Pharmacotherapy Pharmacist · Atlanta, GA
Provider details
- NPI number
- 1003036328
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS24002 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1600 Clifton Rd Centers for Diseae Control and Prevent
Ms-73 Rm 5004
Atlanta, GA 30333
Phone: (404) 498-1278
Fax: (404) 498-1112
Approximate (ZIP-level) locationGet directions
Mailing address
1930 W Hightower Trl
Conyers, GA 30012-1822
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.