Individual
DEBORAH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
701 W MARSHALL AVE, LONGVIEW, TX 75601-6218
(903) 758-1712
(903) 758-3546
Mailing address
701 W MARSHALL AVE, LONGVIEW, TX 75601-6218
(903) 758-1712
(903) 758-3546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29850
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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