Individual
NICHELLE PAGE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL 35404-5809
(205) 345-0531
(205) 345-1068
Mailing address
808 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL 35404-5809
(205) 345-0531
(205) 345-1068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14513
AL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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