Individual
DR. STACEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
12078 HWY 231 431 N, MERIDIANVILLE, AL 35759-1225
(256) 829-0209
Mailing address
12078 HWY 231 431 N, MERIDIANVILLE, AL 35759-1225
(256) 829-0209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14180
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14180
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
07/30/2008
Last updated
07/30/2008
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