Individual
MR. JAMES OLIN WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2940 W MAIN ST, DOTHAN, AL 36305-1152
(334) 677-6149
(334) 677-6189
Mailing address
2757 SAWGRASS LN, PHENIX CITY, AL 36867-2038
(334) 214-4734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11530
AL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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