Mitchell Ally Wallis
Mitchell Ally Wallis is a Pharmacist in Broken Bow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2026
Practice location Address checks out
802 N Park DrBroken Bow, OK 74728-2146
Phone: (580) 584-2850
Fax: (580) 584-2820
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 21050 (OK) |
|---|
Record details
| NPI number | 1528925104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2026 |
| Last updated in NPPES | January 6, 2026 |
| Certification date | January 6, 2026 |
| Mailing address | 104 W Sherry Ln, Broken Bow, OK 74728-1726 |
Other providers in Broken Bow
-
Kyle Wayne Gray, PHARMD
201 S Park Dr, Broken Bow, OK 74728-4737 · (580) 584-6085
-
Amy Korinne Hammonds, DPH
101 Main St, Broken Bow, OK 74728-3973 · (580) 584-3353
-
Lindsey O'Rear, PHARMD
1300 E Martin Luther King Dr, Broken Bow, OK 74728-4160 · (580) 208-2204
-
MS. Shannon Jewelanna Pruett, DPH
201 S Park Dr, Broken Bow, OK 74728-4737 · (580) 584-6085