Individual
MRS. ALISON D WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11 THORNWOOD LN, FAYETTEVILLE, NY 13066-2529
(315) 637-9277
Mailing address
11 THORNWOOD LN, FAYETTEVILLE, NY 13066-2529
(315) 637-9277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043733
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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