Individual
DR. CASEY JAMES WILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-2787
Mailing address
1406 SKYLINE DR, APT L 74, JOHNSON CITY, TN 37604-4344
(315) 796-5852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36147
TN
Other
Enumeration date
08/20/2011
Last updated
08/20/2011
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