Individual
SUMMER BLAKENEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1128 2ND AVE NE, FAYETTE, AL 35555-1739
(205) 932-5400
(205) 932-5401
Mailing address
1128 2ND AVE NE, FAYETTE, AL 35555-1739
(205) 932-5400
(205) 932-5401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14464
AL
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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