IndividualActive
Katie Willis
NPI 1104109396 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fayetteville, AR
Provider details
- NPI number
- 1104109396
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11267 (AR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1100 N. College
Fayetteville, AR 72703
Phone: (479) 443-4301
Approximate (ZIP-level) locationGet directions
Mailing address
1100 N. College
Fayetteville, AR 72703
Registry dates
- Enumerated
- 2011-09-23
- Last updated
- 2019-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.