Individual
DR. ANNA LENORE WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2400 CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
Mailing address
390 NE 36TH ST, OKLAHOMA CITY, OK 73105-2508
(405) 290-3000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18012
OK
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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