MS. Theresa Willis, RPH,MBA

NPI #1437604089 in Alton, Illinois

Provider Information

NPI Number: 1437604089
Entity Type: Individual
Name: MS. Theresa Willis, RPH,MBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH,MBA
Enumeration Date: Aug 23, 2016
Last Updated: Aug 23, 2016

Practice Location

Address: 2615 EDWARDS ST STE 102
City: Alton
State: Illinois
ZIP Code: 62002-3915
Phone: (618) 208-6937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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