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Individual

JULIA R WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1000 BROAD ST, SUMTER, SC 29150-2505
(803) 773-7302
(803) 775-1468
Mailing address
1000 BROAD ST, SUMTER, SC 29150-2505
(803) 773-7302
(803) 775-1468

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4686
SC

Other

Enumeration date
03/13/2011
Last updated
03/13/2011
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