Individual
ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 WASHINGTON ST, FRANKLINTON, LA 70438-1847
(985) 839-6381
(985) 839-5517
Mailing address
2115 DENNIS DR, HAMMOND, LA 70401-1521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018534
LA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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