Individual
STEPHANIE WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5685 BALBOA AVE, SAN DIEGO, CA 92111-2705
(858) 279-2860
Mailing address
5685 BALBOA AVE, SAN DIEGO, CA 92111-2705
(858) 279-2860
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
62057
CA
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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