Anna Lenore Wallis, PHARM.D Valid NPI
Individual provider · Pharmacist · Yukon, OK
- NPI
- 1821694159
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 18012 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
Practice location
2400 Cornwell Dr
Yukon, OK 73099-5804
(405) 354-7449