Individual
TRICHELLE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 POOLER PKWY, POOLER, GA 31322-5171
(912) 748-5170
Mailing address
500 POOLER PKWY, POOLER, GA 31322-5171
(912) 748-5170
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC054904
GA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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