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

Mo Walts

Individual provider Pharmacy Technician · NPI 1104604503

Mo Walts is a Pharmacy Technician in Vestal, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

100 Rano Blvd
Vestal, NY 13850-2776
Phone: (607) 763-8712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 20-102791 (NY)

Record details

NPI number1104604503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address3606 Parti Dr, Cortland, NY 13045-8828