Individual
MR. BRUCE ALAN WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3383
(850) 951-9882
Mailing address
1103 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3383
(850) 951-9882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS25388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031927900
—
FL
Enumeration date
09/12/2011
Last updated
09/12/2011
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