Individual
MELBA E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
490 E TRI COUNTY BLVD, OLIVER SPRINGS, TN 37840-2001
(865) 435-7724
Mailing address
757 FAIRVIEW RD, HARRIMAN, TN 37748-3622
(865) 435-2361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1531
TN
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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