Individual
DARRELL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8201 GOLF COURSE RD NW # 182, ALBUQUERQUE, NM 87120-5842
(304) 777-9869
Mailing address
8201 GOLF COURSE RD NW # 182, ALBUQUERQUE, NM 87120-5842
(304) 777-9869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007142
NM
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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