Individual
DR. EXA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1970 ROANOKE BLVD, DEPT 119, SALEM, VA 24153-6404
(540) 928-8463
(540) 855-3478
Mailing address
1970 ROANOKE BLVD, DEPT 119, SALEM, VA 24153-6404
(540) 928-8463
(540) 855-3478
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15648
AL
Other
Enumeration date
11/16/2007
Last updated
01/28/2014
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