Individual
MRS. FELIDIA YASMIN WISHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
921 S STATE ST, YADKINVILLE, NC 27055-6765
(336) 679-8849
(336) 679-4719
Mailing address
154 PIEDMONT AVE, WINSTON SALEM, NC 27101-3633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17512
NC
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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