Individual
AMANDA J. WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., CDE
Contact information
Practice address
2049 E SHILOH RD, CORINTH, MS 38834-3726
(662) 286-6914
(662) 286-5533
Mailing address
18 COUNTY ROAD 470, CORINTH, MS 38834-6862
(662) 223-0300
(662) 286-5533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09695
MS
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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