Individual
KERRIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
25761 PERDIDO BEACH BLVD, ORANGE BEACH, AL 36561-6107
(251) 974-1590
(251) 974-1595
Mailing address
25761 PERDIDO BEACH BLVD, ORANGE BEACH, AL 36561-6107
(251) 974-1590
(251) 974-1595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17034
—
AL
Enumeration date
11/17/2020
Last updated
11/17/2020
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