Individual
DR. WILEY BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
120 MUIRFIELD DR, YOUNGSVILLE, NC 27596-2015
(919) 426-6576
Mailing address
120 MUIRFIELD DR, YOUNGSVILLE, NC 27596-2015
(919) 426-6576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13439
NC
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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