Individual
JOHNNY T WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
690 BETHEL ST, CLOVER, SC 29710-1156
(803) 222-1383
(803) 980-2638
Mailing address
690 BETHEL ST, CLOVER, SC 29710-1156
(903) 222-1383
(803) 980-2638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3843
SC
Other
Enumeration date
03/15/2010
Last updated
09/06/2011
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