KRYSTAL A WALLIS PHARM D
NPI 1720334329
Pharmacist in Brockport, NY
About Krystal A Wallis Pharm D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL A WALLIS PHARM D (NPI 1720334329) is an individual pharmacist in Brockport, New York, licensed in New York (057053) and active in the NPI registry since August 2012.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKPORT, NY 14420
BROCKPORT, NY 14420
BROCKPORT, NY 14420
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Krystal Wallis's NPI number?
The NPI number for Krystal Wallis is 1720334329. It was assigned to this individual provider in the NPPES registry on August 1, 2012. The provider is also known as Krystal A Mellema Pharm D.
Where is Krystal Wallis located?
Krystal Wallis practices at 6265 Brockport Spencerport Rd, Brockport, NY 14420. The listed phone number is (585) 637-2341.
What is Krystal Wallis's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Krystal Wallis was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.