Individual
KASEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3525 ROSS CLARK CIR STE 100, DOTHAN, AL 36303-5935
(334) 792-4812
Mailing address
3525 ROSS CLARK CIR STE 100, DOTHAN, AL 36303-5935
(334) 792-4812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18790
AL
183500000X
Pharmacist
PS53542
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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