Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Willis

Individual provider Pharmacist · NPI 1104109396

Katie Willis is a Pharmacist in Fayetteville, Arkansas. Licensed in Arkansas and Arizona. Registered with an NPI since 2011.

Licensed in
AR, AZ
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

1100 N College
Fayetteville, AR 72703
Phone: (479) 443-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 15672 (AZ)
Pharmacist Taxonomy 183500000X · Licence 11267 (AR)
Pharmacist Taxonomy 183500000X · Licence 15672 (AZ)

Record details

NPI number1104109396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2011
Last updated in NPPESOctober 24, 2019

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