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

Matthew Wallis

Individual provider Ambulatory Care Pharmacist · NPI 1326931239

Matthew Wallis is an Ambulatory Care Pharmacist in Talihina, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

1 Choctaw Way
Talihina, OK 74571-2022
Phone: (539) 316-6012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence 14964 (OK)

Record details

NPI number1326931239
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address1 Choctaw Way, Talihina, OK 74571-2022