| NPI | 1578750964 |
|---|---|
| Doing Business As | WALLIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IVOR JALLAH Manager 972-814-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26220) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2017-03-02 |