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Individual

ALICIA DANIELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
103 N GATEWAY AVE, ROCKWOOD, TN 37854-2330
(865) 354-3422
Mailing address
7011 LEOPARD WAY, APT 403, KNOXVILLE, TN 37918-5562

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37808
TN

Other

Enumeration date
09/18/2013
Last updated
09/18/2013
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