Individual provider · Type 1 NPI

Theresa Willis, RPH, MBA

Pharmacist · Alton, IL

NPI number 1437604089 Active

Practice location

2615 Edwards St Ste 102
Alton, IL 62002-3915

Fax (618) 208-0291

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051034923 (IL)
Pharmacist 183500000X2011015233 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1437604089

Theresa Willis, RPH, MBA's National Provider Identifier is 1437604089, issued on Aug 23, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Alton, IL. The record was last updated on Aug 23, 2016.