Individual
MR. WILLIAM GLEN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1904 EMMET ST N, CHARLOTTESVILLE, VA 22901-2815
(434) 295-2132
(434) 295-0677
Mailing address
1190 LICKINGHOLE RD, GOOCHLAND, VA 23063-3821
(804) 385-3963
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202204895
VA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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