Individual
ALICIA YVETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5 DUNWOODY PARK STE 102, ATLANTA, GA 30338-6710
(678) 441-0045
(678) 441-0079
Mailing address
1240 FALLS CREEK CT, CONYERS, GA 30094-5573
(678) 441-0045
(678) 441-0079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021176
GA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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