Individual
ASHLEY MICHELLE NINI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1203 U.S.190 BUSINESS, COVINGTON, LA 70433
(985) 893-7476
Mailing address
1203 U.S.190 BUSINESS, COVINGTON, LA 70433
(985) 893-7476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.20641
LA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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