Mitchell Ally Wallis
Pharmacist
802 N Park Dr, Broken Bow
Oklahoma, 74728-2146
580-584-2850 580-584-2820
Mitchell Ally Wallis is a pharmacist in Broken Bow, Oklahoma. Patients can reach at 802 N Park Dr, Broken Bow or contact on 580-584-2850. Active license number of Mitchell Ally Wallis is 21050 for Pharmacist in Oklahoma.
Mitchell Ally Wallis is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mitchell Ally Wallis speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mitchell Ally Wallis |
| Specialization: | Pharmacist |
| Gender: | X |
| Location: | 802 N Park Dr, Broken Bow,
Oklahoma, 74728-2146 |
| Phone: | 580-584-2850 |
| Fax: | 580-584-2820 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mitchell Ally Wallis are as mentioned below.
| NPI Number: | 1528925104 |
| NPI Enumeration Date: | 06 Jan, 2026 |
| NPI Last Update On: | 06 Jan, 2026 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitchell Ally Wallis are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 21050 | Oklahoma | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 104 W Sherry Ln,
Broken Bow, Oklahoma |
| Zip: | 74728-1726 |
| Phone Number: | -- |
Patients can reach Mitchell Ally Wallis at
802 N Park Dr, Broken Bow, Oklahoma or can
call on phone at 580-584-2850.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.