Individual
MARGIE M WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MT. VERNON PHARMACY, 19390 HWY 43 & MILDRED ST., MT. VERNON, AL 36560
(251) 829-6628
Mailing address
71 LANE LAND, PO BOX 294, CALVERT, AL 36513
(251) 829-9316
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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