Individual
TAMARA L WILLITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2336 RIDGE CT, STE C, LAWRENCE, KS 66046-3983
(785) 841-1950
(785) 841-1051
Mailing address
1049 MOUNDRIDGE DR, LAWRENCE, KS 66049-3724
(785) 841-2755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11118
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11118
STATE LICENSE NUMBER
KS
Enumeration date
08/13/2006
Last updated
07/08/2007
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