NPI 1326931239

Matthew Wallis

Practitioner Ambulatory Care Pharmacist Talihina, OK

Practice location

Address: 1 Choctaw Way, Talihina, OK 74571-2022
Phone: (539) 316-6012

Registered specialties

Ambulatory Care Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P2201X Licence 14964 (OK)

Other Pharmacist providers in Oklahoma →

Registry record

NPI: 1326931239
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2025
Record last updated: 30 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.