Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Waltmoor Corp

Organization Pharmacy · NPI 1154479152

Waltmoor Corp is a Pharmacy in Middlesboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3603 Cumberland Ave
Middlesboro, KY 40965-2613
Phone: (606) 248-8900
Fax: (606) 248-8901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 007132 (KY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1154479152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trent Walters — Owner · (606) 248-8900
Other names Walters Pharmacy Shoppe
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 1, 2010
Mailing address3603 Cumberland Ave, Po Box 07, Middlesboro, KY 40965-2613

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