Individual
DR. ELIZABETH ASHLEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1355 W MARKET ST, BOLIVAR, TN 38008-1715
(731) 658-5271
(731) 658-0870
Mailing address
1355 W MARKET ST, BOLIVAR, TN 38008-1715
(731) 472-1011
(731) 212-3082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35834
TN
Other
Enumeration date
08/18/2015
Last updated
06/05/2019
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