Individual
HAROLD WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 US HIGHWAY 23 N, WEBER CITY, VA 24290-7087
(276) 386-2118
(276) 386-2611
Mailing address
3004 US HIGHWAY 23 N, WEBER CITY, VA 24290-7087
(276) 386-2118
(276) 386-2611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000010990
TN
183500000X
Pharmacist
Primary
0202005147
VA
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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