Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTAL A WALLIS, PHARM D
Active Sole ProprietorKRYSTAL A WALLIS, PHARM D is a Pharmacist healthcare provider located in BROCKPORT, New York. NPI 1720334329 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BROCKPORT, NY
Registration Details
- NPI Number
- 1720334329
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2012 (13.892528006424 yrs)
- Last Updated
- Jun 5, 2013
- License
-
057053 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6265 BROCKPORT SPENCERPORT RDBROCKPORT, NY, 144202605Browse NY providers · Browse ZIP 14420
- Phone
- 5856372341
- Fax
- 5856379914
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BROCKPORT, NY
| Name | Credential | NPI |
|---|---|---|
| HARRY M SHIFTON | PHARMACIST | 1700849957 |
| MR. CHRISTOPHER M. DAILEY | PHARM.D. | 1235224098 |
| MRS. KIMBERLEY J. MAIER | R.PH. | 1336289677 |
| ANTHONY MONTALBANO | R.PH | 1497953897 |
| MARK MORAN | — | 1093997397 |
| KIMBERLY ANNE WILDERMUTH | PHARMD | 1407039449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.