Waltmoor Corp
Community/Retail Pharmacy
3603 Cumberland Ave, Middlesboro
Kentucky, 40965-2613
606-248-8900 606-248-8901
Waltmoor Corp is not a DME supplier for medicare equipments and products.
Waltmoor Corp is a Community/Retail Pharmacy in Middlesboro, Kentucky. It is located at 3603 Cumberland Ave, Middlesboro and it's customer support contact number is 606-248-8900. The authorized person of Waltmoor Corp is Trent Walters who is Owner of the pharmacy and his contact number is 606-248-8900. Active license number of Waltmoor Corp is 007132 for Community/Retail Pharmacy in Kentucky.
Waltmoor Corp is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Waltmoor Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Waltmoor Corp |
| Type: | Community/Retail Pharmacy |
| Location: | 3603 Cumberland Ave, Middlesboro, Kentucky, 40965-2613 |
| Phone: | 606-248-8900 |
| Fax: | 606-248-8901 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Trent Walters |
| Position: | Owner |
| Contact Number: | 606-248-8900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1154479152 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 01 Apr, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waltmoor Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 007132 | Kentucky | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1813787 | Other | | Ncpdp Provider Identification Number |
| 1813787 | Medicaid | Tennessee | |
| 54017041 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3603 Cumberland Ave, Po Box 07 Middlesboro, Kentucky |
| Zip: | 40965-2613 |
| Phone Number: | -- |
Patients can reach Waltmoor Corp at
3603 Cumberland Ave, Middlesboro, Kentucky or can
call on customer care at 606-248-8900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.