Individual
MATTHEW WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
731 W MARKET ST, TROY, OH 45373-3003
(937) 573-4530
Mailing address
731 W MARKET ST, TROY, OH 45373-3003
(937) 573-4530
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03324136
OH
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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