Individual
DR. JASMINE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3120 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4004
(256) 533-5058
Mailing address
1222 WILLOWBROOK DR SE APT 2, HUNTSVILLE, AL 35802-3819
(256) 468-3588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22139
AL
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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