KRYSTAL A WALLIS

BROCKPORT, NY
NPI1720334329
Former NameKRYSTAL A MELLEMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  057053)
Enumeration Date2012-08-01
Last Update Date2013-06-05
Business Address
-- KRYSTAL A WALLIS Pharm D
6265 BROCKPORT SPENCERPORT RD
BROCKPORT, NY 14420-2605
Phone number: 585-637-2341
Mailing Address
-- KRYSTAL A WALLIS Pharm D
6265 BROCKPORT SPENCERPORT RD
BROCKPORT, NY 14420-2605
Phone number: 585-637-2341
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